KATINE COMMUNITY PARTNERSHIPS PROJECT - Guardian.co.uk
KATINE COMMUNITY PARTNERSHIPS PROJECT - Guardian.co.uk
KATINE COMMUNITY PARTNERSHIPS PROJECT - Guardian.co.uk
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<strong>KATINE</strong> <strong>COMMUNITY</strong> <strong>PARTNERSHIPS</strong> <strong>PROJECT</strong><br />
6 MONTHS PROGRESS REPORT (OCT 2007 TO MARCH 2008)<br />
Submitted to: The <strong>Guardian</strong> and Barclays<br />
Project Duration: Three Years. Oct 2007-Sep 2010<br />
Prepared by: Oscar Okech, Project Manager, AMREF Uganda<br />
Contact person in Uganda: Joshua Kyallo, Country Director, AMREF Uganda<br />
email: JoshuaK@amrefug.org<br />
Submitted by: Claudia Codsi, Uganda Partnerships Manager, AMREF UK<br />
email: c.<strong>co</strong>dsi@amref<strong>uk</strong>.org<br />
Photo: School boy in Katine<br />
KCPP six monthly narrative report - October 2007 to March 2008 1
TABLE OF CONTENTS<br />
ITEM Page<br />
Cover page 1<br />
List of acronyms 3<br />
Executive Summary 4<br />
1.0 BACKGROUND INFORMATION 8<br />
2.0 PROBLEM ANALYSIS 10<br />
3.0 <strong>PROJECT</strong> DESIGN 11<br />
3.1 Goal 11<br />
3.2 Specific Objectives 11<br />
3.3 Expected Out<strong>co</strong>mes 11<br />
3.4 Implementation Strategy 12<br />
3.5 Sustainability Plan/Phase Out Strategy 12<br />
4.0 PROGRESS OF ACTIVITIES 13<br />
4.1 Progress against planned activities 13<br />
4.1.1 Tabulated progress of activities against outputs and out<strong>co</strong>mes 13<br />
4.1.2 Overall performance 13<br />
4.2. Disparities in performance 20<br />
4.3 Unplanned activities that have <strong>co</strong>ntributed to the project 22<br />
4.4 Results obtained. Level of utilisation and out<strong>co</strong>mes against outputs 22<br />
4.4 Degree of integration of each <strong>co</strong>mponent with the others 22<br />
4.6 Case Studies 26<br />
5.0 <strong>PARTNERSHIPS</strong> AND COORDINATION WITH OTHER BODIES 30<br />
6.0 CONSTRAINTS, SOLUTIONS, LESSONS AND RECOMMENDATIONS 27<br />
7.0 PLANS FOR NEXT PERIOD<br />
7.1 FINANCE REPORT SUMMARY 33<br />
8.0 ANNEXES 35<br />
8.1 Work plan for the next six months 35<br />
8.2 Detailed tabulated progress by outputs, out<strong>co</strong>mes and <strong>co</strong>mments 35<br />
8.3 Project Governance Structure 35<br />
KCPP six monthly narrative report - October 2007 to March 2008 2
LIST OF ACRONYMS<br />
AIDS Acquired Immune-Deficiency Syndrome<br />
AMREF UK African Medical and Research Foundation<br />
CBAHW Community Based Animal Health Workers<br />
CBO Community Based Organisation<br />
CMDs Community Medicine Distributors<br />
DDP District Development Plan<br />
DEO District Education Officer/Office<br />
DIS District Inspector of Schools<br />
DTPC District Technical and Planning Committee<br />
FGD Focus Group Discussion<br />
GDP Gross Domestic Product<br />
HC Health Centre<br />
HIV Human Immune-deficiency Virus<br />
HUMC Health Unit Management Committee<br />
IDPs Internally Displaced Persons<br />
IEC Information, Education and Communication<br />
IGAs In<strong>co</strong>me Generating Activities<br />
ITNs Insecticide Treated Nets (for protection from mosquitoes)<br />
IMCI Integrated Management of Childhood Illnesses<br />
KCPP Katine Community Partnership Project<br />
NGO Non-Governmental Organisation<br />
PDP Parish Development Plan<br />
PHASE Personal Hygiene and Sanitation Education<br />
PTAs Parents Teachers Association<br />
RBA Rights Based Approach<br />
RING Rural Innovation Group<br />
SCDP Sub-<strong>co</strong>unty Development Plan<br />
SCTPC Sub-<strong>co</strong>unty Technical and Planning Committee<br />
SMCs School Management Committee<br />
TBAs Traditional Birth Attendants<br />
TOR Terms of Reference<br />
UBOS Uganda Bureau of Statistics<br />
UGX Uganda Shillings<br />
UWESO Uganda Women’s Efforts to Save Orphans<br />
VHTs Village Health Teams<br />
VSLA Village Savings and Loans Association<br />
WATSAN Water and Sanitation<br />
WHO World Health Organisation<br />
KCPP six monthly narrative report - October 2007 to March 2008 3
EXECUTIVE SUMMARY<br />
Katine in Soroti<br />
district<br />
The African Medical and Research Foundation (AMREF) in<br />
partnership with the <strong>Guardian</strong> News and Media and Barclays<br />
Bank, is delivering an integrated <strong>co</strong>mmunity based<br />
development project over three years in Katine sub-<strong>co</strong>unty<br />
within the district of Soroti. Here, residents live on just 50p a<br />
day. Katine is a sub-<strong>co</strong>unty with one of the worst health and<br />
living <strong>co</strong>nditions in Uganda (Uganda population Census,<br />
2002), where extreme poverty has been <strong>co</strong>mpounded by years<br />
of civil war and cattle rustling. 1 Issues of poverty and violence<br />
are exacerbated by the fact that Katine <strong>co</strong>mmunities are<br />
unable to access the services provided by local government.<br />
In response to the aforementioned obstacles, the Katine Community Partnerships Project<br />
(KCPP) focuses on improving the quality of living for the 25,000 people in Katine. At the same<br />
time, the project provides readers of the <strong>Guardian</strong> with the chance to see how civil society<br />
project interventions work to achieve long-term <strong>co</strong>mmunity development.<br />
With a budget of £2.6 million over 3 years, the KCPP addresses the key <strong>co</strong>nstraints to<br />
sustainable <strong>co</strong>mmunity development by taking an integrated and holistic approach. The<br />
specific objectives are:<br />
� Improved <strong>co</strong>mmunity health<br />
� Improved access to quality primary education<br />
� Improved access to safe water, sanitation and hygiene<br />
� Improved in<strong>co</strong>me-generating (also referred to as improving livelihoods)*<br />
� Communities empowered to engage in local governance<br />
*FARM-Africa is supporting AMREF to provide technical support for the livelihoods<br />
<strong>co</strong>mponent of the project.<br />
AMREF applies its wider strategic aims and best practices to its development approach in<br />
Katine. This is achieved through building the capacity of <strong>co</strong>mmunities, strengthening systems<br />
of service delivery and undertaking operational research to develop, share, scale up and<br />
advocate for best policy and practice changes. The approach also ensures that the project<br />
<strong>co</strong>mponents of health, water and sanitation, education, livelihoods and <strong>co</strong>mmunity<br />
empowerment work to re-enforce each other for integrated development.<br />
The KCPP is aligned to the overarching Poverty Eradication Action Plan (PEAP) - the<br />
Ugandan national framework for poverty eradication. This project <strong>co</strong>ntributes to Goals 2, 4<br />
1 Cattle Rustling - or cattle raiding - is the act of stealing livestock.<br />
KCPP six monthly narrative report - October 2007 to March 2008 4
and 5 of the PEAP; (Goal 2: Increasing production, <strong>co</strong>mpetitiveness and in<strong>co</strong>mes, Goal 4:<br />
Human rights and governance, Goal 5: Human development). Goal 5 focuses on the<br />
importance of a well-educated, healthy and productive population as a prerequisite for<br />
developmental progress. The ultimate goal of the Uganda PEAP is to <strong>co</strong>ntribute to the United<br />
Nations’ eight Millennium Development Goals (MDGs) 2 . The other goals of the PEAP include<br />
macro-e<strong>co</strong>nomic management and security, <strong>co</strong>nflict resolution and disaster management,<br />
which are outside of the remit of the KCPP. (DFID in Uganda<br />
http://www.dfid.gov.<strong>uk</strong>/<strong>co</strong>untries/africa/uganda.asp).<br />
The project targets children under five for health services, children in primary schools for<br />
education improvement and men and women for livelihood development and local political<br />
involvement.<br />
At AMREF UK, <strong>co</strong>ntracts with the project partners were drawn up, negotiated and signed with<br />
the <strong>Guardian</strong> and Barclays. A separate <strong>co</strong>ntract was signed with the sub-<strong>co</strong>ntracted partner of<br />
the project, FARM-Africa. A partnership manager was hired to <strong>co</strong>-ordinate and manage<br />
relationships in the UK and to support the team in Uganda. Much of the first six months of the<br />
KCPP have involved setting up the systems and processes to manage reader donations and<br />
to begin building relationships with these donors. AMREF UK established a partnership with<br />
DMP and then Valldata to manage the processing, banking and thanking of Katine reader<br />
donations and also set up the systems required to process online donations by adding the<br />
necessary functionality to the website. As part of AMREF UK’s responsibility to manage<br />
donor relationships AMREF sent the ‘Katine Newsletter’ to nearly 4,000 Katine donors who<br />
had asked to be kept informed of the project’s progress.<br />
In Uganda, the first three months focused on start-up phases and preparatory activities of the<br />
KCPP such as the implementation of key priorities that had been identified in <strong>co</strong>nsultation with<br />
<strong>co</strong>mmunities and key stakeholders. A detailed needs-assessment along with two baseline<br />
studies were <strong>co</strong>nducted as a means to ensure more accurate monitoring and evaluation of the<br />
out<strong>co</strong>mes and impacts of the KCPP. These included the <strong>co</strong>mmunity survey and the household<br />
baseline survey.<br />
The recruitment and induction of the now seventeen-member project implementation team<br />
took place at the start of the project. The team now includes a project manager, a project<br />
officer and a project assistant for all of the project areas bar the <strong>co</strong>mmunity empowerment<br />
<strong>co</strong>mponent; although at the start of the project the full team was not on the ground, lacking a<br />
full time project manager and <strong>co</strong>mmunications officer. Supporting positions for the project<br />
include monitoring and evaluation, <strong>co</strong>mmunications, administration, ac<strong>co</strong>unts and information<br />
technology. All of the key personnel for the project are managed by the project manager, with<br />
AMREF Kampala Office, AMREF Nairobi Head Office and FARM-Africa providing technical<br />
support and guidance. The team shared resources in the existing Soroti office while<br />
2 The eight Millennium Development Goals (MDGs) – which range from halving extreme poverty to halting the spread of HIV/AIDS<br />
and providing universal primary education, all by the target date of 2015 – form a blueprint agreed to by all the world’s <strong>co</strong>untries<br />
and all the world’s leading development institutions. They have galvanized unprecedented efforts to meet the needs of the world’s<br />
poorest. - http://www.un.org/millenniumgoals/<br />
KCPP six monthly narrative report - October 2007 to March 2008 5
procurement of necessary project equipment and office <strong>co</strong>nstruction took place. The team<br />
moved to the new office which will serve ultimately as the <strong>co</strong>mmunity resource centre in<br />
January of 2008. Project implementation gained full momentum within the se<strong>co</strong>nd quarter and<br />
after six months the KCPP project was operating at full strength.<br />
Within the first six months, progress on activities under the health <strong>co</strong>mponent included:<br />
� Training of 172 Village Health Team members (VHTs) from four out of the six parishes<br />
on home-based care of childhood diseases (104 were men and 68 were women)<br />
� Refresher training for nine health workers (five men and four women) in integrated<br />
management of childhood illnesses from the three health centres<br />
� A four day <strong>co</strong>urse training 23 members (five women and 18 men) of three health unit<br />
management <strong>co</strong>mmittees on roles and responsibilities and enhancing supervisory<br />
skills<br />
� Training of 19 traditional birth attendants on early re<strong>co</strong>gnition of high risk pregnancies<br />
and danger signs with a view to improve referrals to health centres<br />
� Distribution of mosquito nets to 1308 households with children under five, out of the<br />
target of 3250 for the year in an effort to prevent malaria in vulnerable groups<br />
(pregnant women and children under five years)<br />
� 66 bicycles procured and distributed to VHTs in the parish of Ochuloi. The phased<br />
distribution of bicycles to VHTs in other parishes will <strong>co</strong>ntinue upon <strong>co</strong>mpletion of each<br />
VHT training. Bicycles will promote mobility and outreach to remote parts of Katine.<br />
Under the education <strong>co</strong>mponent progress on activities included:<br />
� Training <strong>co</strong>nducted for teachers, School Management Committees (SMCs) and<br />
Parents and Teachers Associations (PTAs) for improved <strong>co</strong>mmunity management of<br />
school learning, teaching, processes and governance<br />
� Provision of school supplies such as textbooks and the <strong>co</strong>nstruction of classrooms in<br />
<strong>co</strong>mmunity schools, (five in Kadinya and seven in Amorikot primary schools) which<br />
started and are currently on-going. This will improve quality education, expand access<br />
so that more children enrol, and improve the environment to make it more <strong>co</strong>nducive<br />
to learning.<br />
Under the water and sanitation <strong>co</strong>mponent, progress on activities included:<br />
� Drilling of eight boreholes to increase access to clean and safe water benefiting 360<br />
households in villages of the following parishes: Ochuloi, Ojom, Olwelai, Merok, Abia<br />
and Katine.<br />
� Rehabilitation of five boreholes and <strong>co</strong>ncurrent water quality testing with functionality<br />
and utilisation of safe water sources increasing from 70% to 95%. These boreholes<br />
are located in villages of the following parishes: Katine, Ojom, Merok and Olwelai,<br />
benefiting 225 households and bringing clean and safe water closer to <strong>co</strong>mmunities,<br />
reducing the average 2-4 km walk before the project’s interventions 3 .<br />
3 Ac<strong>co</strong>rding to the Katine baseline survey<br />
KCPP six monthly narrative report - October 2007 to March 2008 6
� Water quality and water borne disease surveillance has been carried out in 21 sites.<br />
Safe water <strong>co</strong>verage has increased from 42% before the project’s interventions to<br />
56%<br />
� 240 sanitation kits were provided to the 6 parishes and 12 primary schools to promote<br />
hygiene and sanitation at home and at school<br />
� Establishment and training of 6 parish-level sanitation <strong>co</strong>mmittees (one in each of the<br />
6 parishes) and three hand pump mechanics on operation and maintenance of water<br />
sources. They will work as a <strong>co</strong>mmunity owned resource person who can monitor and<br />
maintain the water sources. This has increased access to safe water for 1500 people<br />
Progress on activities under the livelihoods <strong>co</strong>mponent included:<br />
� Formation and training of 18 farmer groups in 18 selected villages each <strong>co</strong>mprising of<br />
30 self selected members, with 50% women representation, with a goal of serving as<br />
Rural Innovation Groups, integrating improved farming with other in<strong>co</strong>me generating<br />
activities<br />
� A diagnostic survey was undertaken in <strong>co</strong>njunction with NARO-Serere Agricultural and<br />
Animal Production Research Institute based in Soroti to identify priority enterprises<br />
and key technology interventions<br />
� On-farm demonstrations sites were identified and clearance done with an increased<br />
uptake of improved farming technology<br />
� Two crops (Cassava and Groundnut) were chosen as entry point to demonstrate<br />
improved varieties, production and marketing approaches<br />
The <strong>co</strong>mmunity empowerment <strong>co</strong>mponent ensures there is a thread of integration that runs<br />
through all project activities. The key achievements under this <strong>co</strong>mponent included:<br />
� The strengthening of <strong>co</strong>mmunity structures (such as PTAs, SMCs, VHTs etc) for all<br />
<strong>co</strong>mponents of the project;<br />
� The establishment of IEC (Information, Education and Communication) working<br />
groups as a tool to support greater governance, steering <strong>co</strong>mmittees at various levels<br />
and re-ignited functionality of existing <strong>co</strong>mmittees in the sub-<strong>co</strong>unty; including<br />
membership of vulnerable people<br />
� The establishment of a Project Management Committee at the sub-<strong>co</strong>unty level and a<br />
Project Steering Committee 4 at the district level. Both <strong>co</strong>mmittees are <strong>co</strong>-chaired by<br />
local leadership and AMREF, to lead project implementation, management and<br />
tracking.<br />
The Project Management and Steering Committees ensure that the project applies a bottomup<br />
approach where reporting requirements and relationships are driven upwards from the<br />
<strong>co</strong>mmunity. The sub-<strong>co</strong>unty Project Management Committee meets on a monthly basis and<br />
directly works with the Project Implementation Team to oversee the operational<br />
implementation of the project. The Project Steering Committee meets on a quarterly basis and<br />
is responsible for providing technical guidance and support to the latter.<br />
4 Please refer to the project governance structure, section 8.3<br />
KCPP six monthly narrative report - October 2007 to March 2008 7
In order to ensure greater integration between the project <strong>co</strong>mponents, an effort has been<br />
made to foster significant <strong>co</strong>llaboration in delivering health related activities through VHTs. For<br />
example, the health, water and sanitation and <strong>co</strong>mmunity empowerment project <strong>co</strong>mponent<br />
used the same VHTs for the delivery of services, sharing information and joint training in order<br />
to achieve integrated activity execution. The education, water and sanitation (WATSAN) and<br />
health <strong>co</strong>mponents worked jointly with the school health <strong>co</strong>mmittees to promote hygiene and<br />
sanitation in schools. Community empowerment has worked in tandem with all other<br />
<strong>co</strong>mponents in developing IEC messages on health, education and water for the development<br />
of posters, brochures, t-shirts, inscriptions in <strong>co</strong>mpounds and leaflets through focus groups at<br />
village level and IEC working groups at sub-<strong>co</strong>unty and district level reflecting all <strong>co</strong>mponents.<br />
The project management and implementation structures from <strong>co</strong>mmunity to sub-<strong>co</strong>unty and<br />
district level also ensure effective integration takes place by reviewing progress on activities<br />
and out<strong>co</strong>mes.<br />
1.0 BACKGROUND INFORMATION<br />
1.1 Development Context in Uganda<br />
Uganda is one of the poorest <strong>co</strong>untries in the world, ranking 146 th out of 177 in the 2004<br />
Human Development Index. The population of Uganda is estimated at 28 million and life<br />
expectancy is only 49.3 years ac<strong>co</strong>rding to the World Health Organisation. A <strong>co</strong>ntributing<br />
factor to the low life expectancy in Uganda is the fact that 31% of the population currently live<br />
below the poverty line (UBOS 2007).<br />
In an effort to pull Uganda’s out of its poverty trap, the <strong>co</strong>untry has introduced a number of<br />
policy and institutional reforms which have seen the HIV/AIDS prevalence decline from 30% in<br />
the late 1980s to 6.1% in 2006. The Uganda AIDS Commission Report states that by 2002,<br />
new infections were 70,170 while new AIDS cases were 73,830 with 75,290 deaths per year.<br />
The high HIV prevalence is largely responsible for the loss of Uganda’s workforce,<br />
<strong>co</strong>ntributing to low e<strong>co</strong>nomic productivity. Other improvements include access to safe water<br />
increasing from 50% in 2000 to 63% in 2006, primary school enrolment increasing from 62.3%<br />
(1992) to 86% (2006), GDP per capita growing at an average of 3.6% since 1995 (PEAP<br />
2006) and poverty prevalence falling from 56% in 1992 to 31% in 2007 (UBOS). In education,<br />
enrolment has increased due to Universal Primary Education (UPE) which was launched in<br />
December 1996 by the president of Uganda - Yoweri Museveni - in ac<strong>co</strong>rdance with the<br />
Government White Paper on Education. In 2002, Museveni stated that the policy would<br />
ensure that ‘all children of school going age should benefit from UPE’ (Opulot, 2002).<br />
Enrolment figures after the launching of UPE shot up figures from 2.5 million in 2006 to 6.8<br />
million in 2000 (Ministry of Education and Sports 2001 b:1). Despite this progress, challenges<br />
still remain. There is inadequate participatory planning and poor human resource capacity<br />
within local government sectors. For instance, the doctor to population ratio in Uganda is<br />
1:18,000 (MOH) and in Katine sub-<strong>co</strong>unty, there are no doctors for a population of about<br />
25,000. There are also inadequate classrooms and teachers for the increased number of<br />
students enrolling in primary schools under Museveni’s initiative.<br />
KCPP six monthly narrative report - October 2007 to March 2008 8
1.2 Development <strong>co</strong>ntext in the district of Soroti District<br />
Map of Soroti<br />
district and Katine<br />
sub-<strong>co</strong>unty<br />
Soroti District is located in<br />
Eastern Uganda. It <strong>co</strong>nsists of<br />
three rural <strong>co</strong>unties (Kasilo,<br />
Serere and Soroti) and one<br />
municipality (Soroti Municipality).<br />
There are a total of 17 sub<strong>co</strong>unties,<br />
including three<br />
divisions of the<br />
municipality. Ac<strong>co</strong>rding to a 2002<br />
census, the total population of<br />
Soroti District is 371,986. Now<br />
peaceful, the district is<br />
<strong>co</strong>nsidered a post-<strong>co</strong>nflict area<br />
with recent periods of insurgency<br />
and cattle rustling which<br />
depleted the number of animals<br />
and other valuable property.<br />
Internally Displaced People (IDPs) have returned to their <strong>co</strong>mmunities and a resettlement plan<br />
is underway. The main e<strong>co</strong>nomic activity is subsistence farming (76% of households<br />
ac<strong>co</strong>rding to the UBOS 2002 Census Report), cattle rearing and petty trade. Poverty<br />
prevalence is at 77%, <strong>co</strong>mpared to the national average of 31%. (UBOS, Mapping the Poor,<br />
2004)<br />
Malaria is the leading disease burden in Soroti District, <strong>co</strong>ntributing to 96.72% of reported<br />
morbidity. Only 19.1% of the population lives within 5km of a health facility, far lower than the<br />
national average of 49%. HIV/AIDS remains a key challenge with prevalence from the two<br />
Voluntary Counselling and Testing (VCT) sites at 20.3%.(MOH).<br />
Education <strong>co</strong>nditions in Soroti district, like the rest of Uganda, are still far from realising the<br />
minimum standards set by the National Government. By 2005, Soroti district had a primary<br />
school enrollment of 130,585, with 65,196 boys and 65,389 girls. The total number of teachers<br />
was 2,198. The pupil to teacher ratio stood at 1:59 while the desired minimum standard is<br />
1:54. In addition, the pupil to classroom ratio is 1:83 where the minimum standard is 1:54.<br />
Soroti still needs approximately 200 trained teachers to meet the increasing number of<br />
children joining primary school every year.<br />
In 2005, Soroti district had 17,932 orphans <strong>co</strong>nstituting 14% of the total enrollment in primary<br />
schools. 9,058 of them were boys and 8,874 were girls. There were 4,253 disabled children<br />
enrolled by 2005, 2,239 of them were boys and 2,014 were girls. The high numbers of the<br />
children in these vulnerable categories pose a demand for <strong>co</strong>nscious targeting. 5<br />
5 (Source: Ministry of Education- Uganda, EMIS data 2005)<br />
www.education.go.ug/abstract%/202005/primary accessed on 08/05/08<br />
KCPP six monthly narrative report - October 2007 to March 2008 9
Ac<strong>co</strong>rding to the district re<strong>co</strong>rds, safe water <strong>co</strong>verage in Soroti district stands at 76%, which is<br />
in fact well over the national average of 65%. The functionality rate of the installed water<br />
facilities is at 89%. Results from the AMREF EU project survey done in 2007 indicate that<br />
latrine <strong>co</strong>verage is at 68%, also above the national average of 65%. Ac<strong>co</strong>rding to the District<br />
health inspectorate however, the biggest challenge is the lack of budget support to the<br />
Environmental Health Division for Sanitation Promotion, emphasising the need for a financial<br />
lobbying strategy.<br />
As much as the government has strengthened decentralisation in Uganda - with the sub<strong>co</strong>unty<br />
as the lowest unit of development planning and implementation - this has almost<br />
exclusively emphasised the supply side of governance. Citizens have remained passive to<br />
events and public decisions that affect them. The need for citizens to actively engage in public<br />
decision making on matters that affect them and demand for their rights is imperative.<br />
Ac<strong>co</strong>rding to district reports, there is low <strong>co</strong>mmunity participation in local government planning<br />
and implementation in Soroti. Therefore there is a pressing need to empower <strong>co</strong>mmunities to<br />
effectively engage in local governance issues across sectors. This is so important because<br />
only 68% of the population are literate, 48% of households own a radio and 49% of the<br />
population depend on word of mouth to get information (UBOS, 2002 Census report).<br />
1.3 Development Context in Katine sub-<strong>co</strong>unty<br />
Katine sub-<strong>co</strong>unty is part of Soroti district. It has one of the worst re<strong>co</strong>rds for poverty and<br />
underdevelopment among the 17 sub-<strong>co</strong>unties and 3 municipality divisions in the district. A<br />
<strong>co</strong>mparison of Katine indicators with that from the 2006 Uganda Demographic and Health<br />
Survey shows that overall baseline <strong>co</strong>nditions for the Katine population are worse than the<br />
average for rural areas of the <strong>co</strong>untry.<br />
In light of this, the KCPP strives to improve the quality of life of the estimated 25,000 people in<br />
Katine. The project’s integrated approach will simultaneously address various project<br />
<strong>co</strong>mponents of better health, access to education, access to safe water, increased in<strong>co</strong>mes<br />
and active citizen participation for decision making in local governance.<br />
2.0 PROBLEM ANALYSIS<br />
When AMREF addressed project priorities with the sub-<strong>co</strong>unty and district leaders, needs<br />
were identified in the areas of health, education, water and sanitation, livelihoods and<br />
<strong>co</strong>mmunity empowerment.<br />
A household survey was <strong>co</strong>nducted by AMREF in January 2008 to assess the needs further<br />
whereby the results of the survey demonstrated that the overall baseline in Katine sub-<strong>co</strong>unty<br />
were uniformly poor 6 . For example, Tiriri health centre IV has no medical doctor and has a<br />
well equipped but non-functional operation theatre. Access to safe water in Katine was at<br />
42% and latrine <strong>co</strong>verage was at 44%. In some parishes, like Olwelai, latrine <strong>co</strong>verage was as<br />
6 Katine household baseline executive summary, page 2. The baseline survey was <strong>co</strong>nducted by AMREF with support from<br />
Uganda Bureau of Statistics (UBOS)<br />
KCPP six monthly narrative report - October 2007 to March 2008 10
low as 24%. The school drop out rate was at 19% for boys and 22% for girls and the pupil to<br />
classroom ratio was at 91:1. Also, 16% of children aged 7-12 are orphans.<br />
Livelihoods, which depend mostly on agriculture, have been disrupted by 20 years of internal<br />
<strong>co</strong>nflicts and cattle rustling. There was a rebellion by the Uganda Patriotic Army in Teso<br />
region (where Soroti is based) from the late 1980s to the early 1990s <strong>co</strong>mbined with an<br />
incursion by the Lords Resistance Army from the Acholi region of Northern Uganda into Teso<br />
region from 2003 to 2006.<br />
Due to poverty, marginalisation and the dis<strong>co</strong>nnection between the formal governance system<br />
and the <strong>co</strong>mmunity, the population seldom participates actively in decision making processes<br />
in local government. The low indicators stated in the baseline survey suggested a <strong>co</strong>mmunity<br />
in critical need of empowerment with information, tools and basic inputs so that they <strong>co</strong>uld<br />
improve their own capacity for making a positive difference to their lives.<br />
3.0 <strong>PROJECT</strong> DESIGN<br />
3.1 Goal<br />
To improve the quality of life of the people of Katine<br />
3.2 Specific Objectives<br />
� Improved <strong>co</strong>mmunity health<br />
� Improved access to quality primary education<br />
� Improved access to safe water, sanitation and hygiene (WATSAN)<br />
� Improved in<strong>co</strong>me-generating<br />
� Communities empowered to engage in local governance<br />
3.3 Expected Out<strong>co</strong>mes<br />
Health<br />
� Increased <strong>co</strong>mmunity awareness, access to and utilisation of health services in<br />
<strong>co</strong>mmunity and health facilities<br />
Education<br />
� Improved access to quality primary education for all children and greater <strong>co</strong>mmunity<br />
involvement in school governance<br />
WATSAN<br />
KCPP six monthly narrative report - October 2007 to March 2008 11
� Increased <strong>co</strong>mmunity access to and utilisation of improved water and sanitation<br />
facilities<br />
� Improved hygiene practices in households<br />
� Improved operations and maintenance of water sources<br />
Livelihoods<br />
� Re<strong>co</strong>very of livelihoods through diversified and improved sources of in<strong>co</strong>me<br />
� Stronger ability of rural institutions to access both advisory services and markets for<br />
their products for increased production and in<strong>co</strong>me<br />
� Community demanding and achieving their rights and services<br />
Community Empowerment<br />
� Increased <strong>co</strong>mmunity capacity to plan and budget for <strong>co</strong>mmunity needs<br />
� Stronger <strong>co</strong>mmunity capacity for data gathering and utilisation<br />
3.4 Implementation Strategy<br />
AMREF uses three overarching strategies in all of its projects throughout Sub-Saharan Africa.<br />
Community Partnering: The project’s entry point into the <strong>co</strong>mmunity is through partnering with<br />
existing groups and <strong>co</strong>mmunity structures. The aim is to empower <strong>co</strong>mmunities to take full<br />
supervision of their development process and ensure sustainability beyond the life of the<br />
KCPP.<br />
Capacity-Building: This aims to develop the human resources and service delivery systems in<br />
both the <strong>co</strong>mmunities and local governments to manage development projects. The<br />
development of these local institutions and organisations enhances effectiveness,<br />
sustainability and local ownership.<br />
Operations Research and Advocacy: The project will monitor and evaluate progress,<br />
document lessons learnt and share them with others. Lessons learnt from this project will be<br />
used to inform and influence policies and practices in health and development sectors among<br />
governmental and non-governmental partners.<br />
3.5 Sustainability Plan & Phase-Out Strategy<br />
The KCPP builds on existing <strong>co</strong>mmunity based and local government structures. Some of<br />
these structures include village health teams, school management <strong>co</strong>mmittees, parent-teacher<br />
associations and water source <strong>co</strong>mmittees. In addition, KCPP also works with parish<br />
sanitation <strong>co</strong>mmittees, sub-<strong>co</strong>unty thematic groups, hygiene and sanitation working groups,<br />
sub-<strong>co</strong>unty water and sanitation steering <strong>co</strong>mmittees, health centre unit <strong>co</strong>mmittee, farmer’s<br />
forums and <strong>co</strong>mmunity animal health workers. The <strong>co</strong>mmunity structures have different roles<br />
KCPP six monthly narrative report - October 2007 to March 2008 12
and responsibilities but are inter-linked in their execution. For example, VHTs sensitise<br />
<strong>co</strong>mmunities and <strong>co</strong>llect sanitation and hygiene data while the parish sanitation <strong>co</strong>mmittees<br />
mobilise <strong>co</strong>mmunities to dig pit latrines and ensure a clean environment in their homes. The<br />
project empowers <strong>co</strong>mmunities to take ownership by strengthening their capacity and<br />
enhancing their performance. Some structures, like Village Savings and Loans Associations<br />
(VSLA) 7 , have a multiplier effect because more will be formed after the project has ended<br />
based on the success of what has already been achieved. AMREF’s planning is also shared<br />
with and in<strong>co</strong>rporated into the sub-<strong>co</strong>unty and district development plans and annual reports.<br />
If the KCPP can demonstrate successful initiatives, the strategy is to influence district and<br />
sub-<strong>co</strong>unty governments to in<strong>co</strong>rporate <strong>co</strong>ntinued project work into their budgetary plans.<br />
The KCPP works with parish development <strong>co</strong>mmittees, a sub-<strong>co</strong>unty project management<br />
<strong>co</strong>mmittee chaired by the sub-<strong>co</strong>unty chief and <strong>co</strong>-chaired by the AMREF Deputy Country<br />
Director. The project also <strong>co</strong>llaborated with a district steering <strong>co</strong>mmittee which is chaired by<br />
the Chief Administrative Officer who is the head of civil service at the district level. This role is<br />
relevant for effective partnership and sustainability as it is <strong>co</strong>-chaired by the AMREF Country<br />
Director. In addition, a national advisory <strong>co</strong>mmittee chaired by AMREF and other<br />
stakeholders, line ministries and a global partners <strong>co</strong>mmittee in the UK adds to the impact of<br />
the district steering <strong>co</strong>mmittee. These are the structures that have been put in place to<br />
manage the project and to ensure that decision making is a bottom-up and participatory<br />
process. Over the <strong>co</strong>urse of the KCPP, AMREF will work with project partners to develop exit,<br />
scale-up and sustainability strategies.<br />
4.0 PROGRESS OF ACTIVITIES<br />
4.1 Progress against Planned activities<br />
4.1.1 Tabulated table of progress of activities with outputs, out<strong>co</strong>mes and <strong>co</strong>mments for<br />
disparities (see annex 2)<br />
4.1.2 Description of overall performance<br />
Improved Community Health<br />
To improve the household health status, the Ministry of Health recently introduced a strategy<br />
of VHTs <strong>co</strong>mposed of <strong>co</strong>mmunity volunteers. Their role is to provide basic home-based care<br />
and mobilise <strong>co</strong>mmunities for health action. Unfortunately, the reality of this strategy is that<br />
VHTs are not yet fully functional. The KCPP has trained 172 VHT members from four of the<br />
six parishes in Katine sub-<strong>co</strong>unty (41 of the 66 villages in Katine sub-<strong>co</strong>unty) in home based<br />
care of childhood diseases. Of these, 104 (60%) were men and 68 (40%) were women. They<br />
were trained in strategies to prevent and <strong>co</strong>ntrol malaria, HIV/AIDS, tuberculosis, diarrhoea<br />
and sanitation practices. In so doing, the project expects to increase the number of referrals<br />
from the <strong>co</strong>mmunity to the health centres as well as to improve diagnostics at the household<br />
level. Additionally, the project has procured 130 bicycles for the VHTs. In the first six months,<br />
66 bicycles were distributed to VHTs which are used for transport, home visits, <strong>co</strong>llection of<br />
supplies from health centres and the submission of monthly health status reports to health<br />
7 The role of VSLAs and the integration with KCPP will be reported on in the next reporting period<br />
KCPP six monthly narrative report - October 2007 to March 2008 13
centres. Bicycles are also being used for transporting severely ill people from villages to<br />
health centres. The remaining bicycles will be given to the VHTs after their training is<br />
<strong>co</strong>mpleted. Some of the purchased bicycles needed repair due to brakes and lights not<br />
functioning properly and will be distributed once repaired.<br />
High risk groups for malaria infection and its <strong>co</strong>mplications include children below five years of<br />
age, pregnant women and people living with HIV/AIDS. The KCPP’s baseline survey revealed<br />
that mosquito net <strong>co</strong>verage was 48% in Katine. In an effort to reduce malaria, 3250 Insecticide<br />
Treated Nets (ITNs) were procured. Since the inception of the KCPP, 1308 ITNs have been<br />
distributed to 1308 households in Ochuloi, Merok, Katine and Ojama parishes. Each<br />
household was targeted for net distribution because it was home to at least one child under<br />
the age of five. Children tend to sleep together under one net so a single bed net may benefit<br />
more than one child. Distribution of nets to children under the age of five, pregnant women<br />
and people living with HIV/ AIDS will <strong>co</strong>ntinue into the next quarter of the project. Regular<br />
visits by VHTs to households ensure that those most vulnerable to malaria (the target groups)<br />
are using the nets regularly and <strong>co</strong>rrectly. The project works closely with the existing health<br />
system ensuring that information is shared. This is important because the KCPP wants to be<br />
certain future ITN distribution from other sources does not target the same individuals as this<br />
project. During net distribution, VHTs sensitised <strong>co</strong>mmunities to ensure that there was positive<br />
health behaviour change (aiming to ensure the target groups did sleep under an ITN).<br />
As a result of capacity gaps the delivery of quality services among health centre staff and<br />
inadequate facilities at the health centres, the project <strong>co</strong>nducted refresher training in outpatient<br />
care for nine staff members working in Katine HC II, Ojom HC II and Tiriri HC IV. It<br />
also <strong>co</strong>nducted a four-day residential training for the three Health Unit Management<br />
Committees of Tiriri HC IV, Katine HC II and Ojom HC II. The project found these <strong>co</strong>mmittees<br />
already in place. 23 members attended, of which five were women. All the <strong>co</strong>mmittees have at<br />
least one women member. They were trained in their roles and responsibilities, equipped with<br />
supervisory skills, quality assurance techniques and trained in planning for health services.<br />
Immunisation equipment and supplies such as children’s weighing scales, vaccine carriers,<br />
bicycles, chairs and tables were also provided to Ojom HC II and Katine HCII.<br />
To improve on the quality of maternal and neo-natal care services, a three-day refresher<br />
training <strong>co</strong>urse was held for 19 Traditional Birth Attendants (TBAs) already existing within the<br />
<strong>co</strong>mmunity (all the six parishes), all of whom were women. They were trained in early<br />
re<strong>co</strong>gnition of high risk pregnancies, pregnancy danger signs, HIV/AIDS, prevention of mother<br />
to child transmission of HIV/AIDS (PMTCT), immunisation, re<strong>co</strong>rd keeping and knowledge on<br />
how to <strong>co</strong>nduct safe and clean deliveries. Referral re<strong>co</strong>rds at the health centres show that<br />
several referrals have been made from the <strong>co</strong>mmunity by TBAs since their training.<br />
Improved access to quality education<br />
The household baseline survey revealed that 75% of primary school going age (6-12 years)<br />
children are currently attending school; lower than the 81% for all rural areas. Gender equity in<br />
the ratio of boys to girls enrolled has only been achieved in Merok parish while the widest<br />
gaps were in Katine/Ojama and Olwelai.<br />
KCPP six monthly narrative report - October 2007 to March 2008 14
KCPP <strong>co</strong>nducted a <strong>co</strong>mmunity survey which revealed that the learning environment at<br />
schools in Katine was poor. Statistics are indicated in the table below:<br />
Ministry of Education Standards (6)<br />
Learning<br />
Environment:<br />
School<br />
Performance and<br />
Needs<br />
Number of<br />
schools meeting<br />
national target<br />
What is needed<br />
for all 13 schools<br />
to meet the target<br />
Pupil to<br />
teacher ratio<br />
< 54:1<br />
Pupil to<br />
classroom<br />
ratio < 54:1<br />
Pupil to<br />
textbook<br />
ratio < 1:1<br />
Pupil to<br />
desk ratio <<br />
3:1<br />
6 2 0 0 0<br />
12 teachers 42<br />
classrooms<br />
2,000 books 1,411 desks 13<br />
Meet all<br />
four<br />
targets<br />
As part of the project intervention to improve the learning environment, the project has<br />
provided text books to Ojama and Oimai primary schools, including thematic charts and books<br />
for lower primary. The text books will increase access and participation of pupils in class. In<br />
addition, <strong>co</strong>nstruction of new classrooms in Amorikot and Kadinya primary schools is currently<br />
on-going. These were the KCPP’s first priority since they had wattle and grass classrooms<br />
and offices. In addition, these schools were created by the <strong>co</strong>mmunity and do not have any<br />
additional support from the local government.<br />
The KCPP has trained twelve teachers (11 men and one woman) and 120 parents (69 men<br />
and 51 women) in the development of materials that facilitate teaching and learning for six<br />
primary schools. The schools targeted are Katine, Katine-Tiriri, Adamasiko, Merok<br />
(government schools) Amorikot and Kadinya (<strong>co</strong>mmunity schools). Refresher training to<br />
strengthen linkages between schools and the <strong>co</strong>mmunities as well as to promote personal<br />
hygiene and sanitation education were <strong>co</strong>nducted for Ochuloi, Amorikot, Kadinya, and Olwelai<br />
Katine primary schools. 41 teachers attended these training sessions. Teachers were trained<br />
in thematic curriculum, children’s’ rights, the Presidential initiative on HIV/AIDS, strategies for<br />
<strong>co</strong>mmunicating to youth, child to child teaching methodologies, local materials, material<br />
development, personal hygiene and adolescent reproductive health. As a result, these schools<br />
have put up tippy taps 8 , re-activated health parades in school and increased observation for<br />
the general hygiene of pupils.<br />
Four primary schools had SMC and PTA structures but had limited knowledge on their<br />
respective roles and responsibilities in school management. SMCs are statutory <strong>co</strong>mmittees<br />
mandated by government policy on primary education to manage schools together with the<br />
school administration. In <strong>co</strong>ntrast, PTAs - responsible for school development programmes -<br />
are voluntary associations formed by parents and teachers. The SMC has 12 executive<br />
members while the PTA executive has nine. As a response, the KCPP has <strong>co</strong>nducted training<br />
for 12 SMCs and nine PTAs per school. The goal is to improve <strong>co</strong>mmunity management of<br />
8 Tippy Taps are locally made taps from small jerricans that are filled with water and tipped to wash hands<br />
KCPP six monthly narrative report - October 2007 to March 2008 15
school learning, teaching processes and governance for Obyarai, Merok, Ojago and Ajonyi<br />
primary schools.<br />
Two SMCs of Amorikot and Kadinya primary schools have been trained on monitoring school<br />
<strong>co</strong>nstruction. Currently these groups are in charge of monitoring and supervising<br />
the classroom <strong>co</strong>nstructions. They also participate in school meetings. These groups, who<br />
have taken ownership of school management, will increase <strong>co</strong>mmunity participation and<br />
involvement as well as ac<strong>co</strong>untability for these institutions. Quality education will ensure that<br />
children acquire skills in writing and reading. For this to be realised, children deserve a<br />
<strong>co</strong>nducive learning environment that includes proper classrooms, seating facilities, sanitation<br />
and hygiene facilities, proper learning materials and well trained teachers.<br />
In order to build the links between the project, schools and the district, <strong>co</strong>operation is vital.<br />
The District Inspector of Schools (DIS) along with the centre for <strong>co</strong>ordinating tutors of Katine<br />
sub-<strong>co</strong>unty worked closely with the Programme Officer (PO) for AMREF to provide support,<br />
supervision and follow up of teacher training in all thirteen schools in Katine. They also<br />
<strong>co</strong>nducted <strong>co</strong>nsultations with <strong>co</strong>mmunities, children, PTAs and SMCs to develop a <strong>co</strong>mmunity<br />
participatory monitoring tool (checklist) to monitor progress. Special attention was paid to<br />
school sanitation and hygiene, personal hygiene, school infrastructure and facilities, academic<br />
performance and administration in schools. This support team also <strong>co</strong>llected school data and<br />
developed a database for Katine schools to feed into the district data information management<br />
system. This data pipeline will enhance the tracking of educational trends in order to facilitate<br />
better planning and ensure effective and efficient service delivery.<br />
AMREF <strong>co</strong>nducted an advocacy forum with women teachers as role models for girls in four<br />
Katine schools. The advocacy forum was designed to improve the support and role modeling<br />
provided to girls in schools. During this exercise AMREF noticed inadequate representation of<br />
women teachers in Katine schools especially in the <strong>co</strong>mmunity schools, where only two<br />
schools among the targeted four had women teachers. Amorikot primary school, for example,<br />
did not have a single women teacher. The need to address this issue was raised and the<br />
District Education Officer (DEO) responded immediately by mobilising the parents to identify<br />
eligible women (untrained) to fill the positions. These teachers will be trained on how to<br />
promote education for girls in order to curb the number of girls who drop out of school. By<br />
reaching out to teachers and parents to resolve issues relating to girls dropping out of school,<br />
the project hopes to promote education, improve retention and drop out rates.<br />
Children’s events were <strong>co</strong>nducted to mark National Sanitation Week from 17 th to the 22 nd of<br />
March 2008. During these events, a series of activities to promote sanitation and proper<br />
hygiene were <strong>co</strong>nducted throughout Uganda. AMREF supported the various sanitation and<br />
hygiene activities that took place in Katine sub-<strong>co</strong>unty. The event, which was led by children<br />
who are promoted as carriers of these messages to their <strong>co</strong>mmunities, was characterised by<br />
music, dance, drama and demonstrations. These activities served to strengthen the links<br />
within institutional learning (schools and health centers) and provided <strong>co</strong>ntinuity in <strong>co</strong>mmunity<br />
approaches to sanitation and hygiene practices.<br />
Improved access to water, sanitation and hygiene<br />
KCPP six monthly narrative report - October 2007 to March 2008 16
The <strong>co</strong>mmunity survey revealed that no school met the standard of a latrine stance for pupils<br />
(calculated separately for men and women pupils). A stance, or stall, is a single room of a<br />
toilet. A toilet or latrine may have more than one stance.<br />
Three schools, with a total of almost 1,000 pupils had no latrine stances at all making them<br />
unsuitable for operation as they did not meet the minimum standard of a school. Two of these<br />
schools are <strong>co</strong>mmunity-owned.<br />
The table below is a summary of the water and sanitation needs in the thirteen schools in<br />
Katine by parish (as revealed by the <strong>co</strong>mmunity survey):<br />
Table 1: School water facilities needed in Katine sub-<strong>co</strong>unty<br />
Parish No. of schools in Latrine stances Hand washing Rain water harvesting<br />
parish<br />
needed<br />
facilities<br />
facilities needed<br />
Ojom 3 24 2 1<br />
Olwelai 3 14 4 1<br />
Merok 2 16 3 2<br />
Katine 2 22 1 0<br />
Ochuloi 2 26 3 1<br />
Ojama 1 10 1 0<br />
Total 13 112 14 5<br />
Interventions to address the requirements in the baseline survey will be done in the<br />
subsequent quarters of the KCPP.<br />
The project is addressing needs of latrine <strong>co</strong>verage and access to safe water for the pupils in<br />
schools and <strong>co</strong>mmunities. Thirteen panel toilets with a total of 52 stances in the primary<br />
schools of Ojago, Amorikot, Merok, Ojama, Oimai, Kadinya, Adamasiko, Ojom, and Olwelai<br />
are currently under <strong>co</strong>nstruction. Five 10,000 litre rain water tanks have been installed in the<br />
schools of Oimai and Merok in Merok parish, Ojago and Ajonyi in Ochuloi parish and<br />
Adamasiko in Ojom parish to improve access to safe water. Apart from Ojago, which is a<br />
<strong>co</strong>mmunity school, the other schools are government-run. The schools not directly targeted by<br />
the KCPP, such as Amorikot, also benefit from the project since they now have access to<br />
clean water through <strong>co</strong>mmunity boreholes drilled nearby. With these interventions, the pupils<br />
in the above schools will have access to hygienic pits latrines and safe water for drinking while<br />
at school which will reduce incidences of water-borne diseases. The interventions will also cut<br />
back on the time children are forced to take off from school in order to <strong>co</strong>llect water.<br />
The most <strong>co</strong>mmon source of drinking water for Katine residents at the start of the KCPP, as<br />
revealed by the household survey, was unprotected wells. These were the primary sources of<br />
drinking water in 29 villages. Unprotected wells are open wells which are prone to<br />
<strong>co</strong>ntamination by animal or human faecal matter. The se<strong>co</strong>nd most <strong>co</strong>mmonly used source<br />
was boreholes (primary source in 20 villages). Some villages, mostly in Merok parish,<br />
KCPP six monthly narrative report - October 2007 to March 2008 17
mentioned using the swamp as their se<strong>co</strong>nd water source. Nine villages had the greatest<br />
distance of 3-4 kilometres. This reality is not in line with the government re<strong>co</strong>mmended<br />
walking distance of 1.5 kilometres to travel to <strong>co</strong>llect water.<br />
As part of the project intervention, 5 boreholes have been rehabilitated in Katine and Ajobi<br />
villages in Katine parish, Adamasiko in Ojom parish, Merok in Merok parish and Olwelai in<br />
Olwelai parish benefiting 225 households. 8 new boreholes were drilled in Obyarai A and<br />
Omodoi in Ochuloi parish, Ominit and Matali in Ojom, Amorikot in Olwelai, Omulai in Katine<br />
parish, Abata in Merok parish, and Abia in Ojama parish (benefiting 360 households). District<br />
and sub-<strong>co</strong>unty <strong>co</strong>nsultative meetings were held where baseline data was shared and used to<br />
prioritise areas of need. Community <strong>co</strong>nsultative meetings and advocacy took place where<br />
decisions were made on the above sites for drilling the boreholes. This has increased safe<br />
water <strong>co</strong>verage from 42% to 56%. In addition, water quality and water-borne disease<br />
surveillance at 21 sites have been carried out. KCCP anticipates that this intervention will<br />
reduce water-borne diseases like diarrhoea and typhoid which are <strong>co</strong>mmon in the Katine<br />
<strong>co</strong>mmunity.<br />
The household baseline survey revealed that half of the surveyed households did not have a<br />
latrine and instead used the bush or plastic bags which they disposed of in bushes near their<br />
home. Seven out of ten households in Olwelai and six out of ten in Ochuloi did not have a<br />
latrine. Of the households that did have a toilet facility, 42% had a pit latrine without a slab and<br />
6% had a pit latrine with a slab. Latrine <strong>co</strong>verage was highest in Katine/Ojama (68%), followed<br />
then by Merok (58%). In response to these findings, the project has provided 240 sanitation<br />
kits to all 6 parishes in Katine sub-<strong>co</strong>unty and primary schools. These kits included wheel<br />
barrows, pick axes, machetes, axes, hoes and spades for latrine excavation. A follow-up of<br />
60 households that received a sanitation kit revealed that 33 had <strong>co</strong>mpleted latrine digging<br />
and had handed over these kits to the next villages.<br />
The <strong>co</strong>mmunity survey also revealed that 3 villages unanimously reported they had a trained<br />
water user <strong>co</strong>mmittee and one village (Obiol) had hand pump mechanics. The KCPP was able<br />
to facilitate three sub-<strong>co</strong>unty health <strong>co</strong>mmittee meetings for the months of January, February<br />
and March to discuss progress of water and sanitation <strong>co</strong>mponent activities. The project also<br />
established and trained 6 parish sanitation <strong>co</strong>mmittees - one from each of the six parishes.<br />
The KCPP established and trained three hand pump mechanics on operation and<br />
maintenance of water sources to <strong>co</strong>ver the six parishes and equipped them with protective<br />
wear, tool kits and bicycles for transportation.<br />
Monitoring of water usage informs us that, due to this intervention, the functionality of water<br />
sources has increased from 70% to 95%. The result of this increase is an improvement in<br />
<strong>co</strong>mmunity access to safe water for 1,500 people in Katine sub-<strong>co</strong>unty.<br />
Improved In<strong>co</strong>me Generation<br />
Farming groups have been formed in 18 selected villages from six of the parishes. Each of<br />
these groups has 30 self-selected members and includes both men and women with a guiding<br />
criterion of 50% gender representation. The selection criteria require <strong>co</strong>mmunity members to<br />
be actively engaged in farming and have a desire to improve production and marketing. The<br />
KCPP six monthly narrative report - October 2007 to March 2008 18
aim is to serve as Rural Innovation Groups (RINGs), integrating improved agricultural<br />
production and marketing with other in<strong>co</strong>me generating activities. These groups also function<br />
as VSLAs, integrating the financial inclusion model into their farming and other in<strong>co</strong>me<br />
generating activities. The groups have undergone training ranging from wealth ranking to<br />
identification of technology gaps. The training was in response to the findings of the<br />
<strong>co</strong>mmunity <strong>co</strong>nsultative meetings and baseline survey which indicated that most of the groups<br />
were not functioning optimally due to inadequate capacity building. Capacity building initiatives<br />
require group leadership, financial management, group dynamics, group visioning, re<strong>co</strong>rd<br />
keeping, participatory monitoring and evaluation in order to be successful. There was also a<br />
need for experience-sharing programmes to enable Katine residents to better manage their<br />
group affairs and access markets for their agricultural products. KCPP endeavours to provide<br />
more training sessions to help these groups realise the possibility for improved sustainable<br />
livelihoods.<br />
At the start of the project, two villages had a marketing association. Marketing associations<br />
provide <strong>co</strong>mmunity members with easy access to credit services for improved production and<br />
marketing of their products to customer bases. In response to this, the project has also started<br />
linking the Katine farmers to the wider markets outside of Soroti to maximise opportunities for<br />
inclusion into national market chains and so achieve greater profit margins for agriculture.<br />
Additionally exposure to national markets will support future developments in processing<br />
produce locally for added value, for example cassava flour.<br />
Ac<strong>co</strong>rding to the AMREF Community Survey Report, the majority of <strong>co</strong>mmunity members rely<br />
on agriculture as their main source of in<strong>co</strong>me. In addition, farmers have been engaged in the<br />
art crafts, brewing, casual labour, char<strong>co</strong>al sale, fishing, petty trade, mining and livestock<br />
trade. Training for skills development in some selected in<strong>co</strong>me generating activities in<br />
additional to increase in<strong>co</strong>me from agriculture will give the farmers an opportunity to have<br />
multiple sources of in<strong>co</strong>me, attaining improved and sustainable livelihoods.<br />
A diagnostic study, done in <strong>co</strong>njunction with NARO-Serere Agricultural and Animal Production<br />
Research Institute, identified the main food security and in<strong>co</strong>me generating crops as cassava<br />
and groundnuts. The KCPP is focusing solely on improving the productivity and marketability<br />
of these crops for the first 18 months of the project. A participatory review will then be<br />
<strong>co</strong>nducted to support farmers in adopting other enterprises that have market potential.<br />
Communities Empowered to Engage in Local Governance<br />
� Existing decentralised government structures such as district health teams, district<br />
water and sanitation <strong>co</strong>ordination <strong>co</strong>mmittees, sub-<strong>co</strong>unty technical planning<br />
<strong>co</strong>mmittees, sub-<strong>co</strong>unty health <strong>co</strong>mmittees, village health teams, health unit<br />
management <strong>co</strong>mmittees, school management <strong>co</strong>mmittees and parents teachers<br />
associations are targeted by the KCPP. The aim is to ensure effective project<br />
implementation and sustainability through these groups.<br />
� Other structures such as Information Education Communication (IEC) working groups,<br />
sanitation working groups, hygiene working groups, operation and maintenance<br />
working groups and farmers’ groups have been formed by the project. These groups<br />
KCPP six monthly narrative report - October 2007 to March 2008 19
were designed to reinforce existing structures above them, especially at<br />
implementation level.<br />
� Project governance structures, including the Project Management Committee (at sub<strong>co</strong>unty<br />
level) and the Project Steering Committee (at district level) were formed to<br />
manage and support project implementation and sustainability. This will be achieved<br />
through closer links and between the <strong>co</strong>mmunity groups and local government<br />
structures in responding to developmental priorities.<br />
� IEC is one of the main KCPP strategies for creating awareness about <strong>co</strong>mmunity<br />
rights to basic services like health, education and water. They reinforce sensitisation<br />
and education of <strong>co</strong>mmunities during <strong>co</strong>mmunity meetings, trainings and outreaches.<br />
Development of IEC awareness messages for radio programmes, posters and leaflets<br />
were carried out in order to increase the <strong>co</strong>mmunity’s knowledge of health, education,<br />
water and sanitation. Other key IEC messages were developed together with sub<strong>co</strong>unty<br />
and district local government partners. Although the VHTs also play a key role<br />
in bringing key health messages to the <strong>co</strong>mmunity.<br />
� A district stake-holder’s meeting was <strong>co</strong>nducted to update local government and NGO<br />
partners about the project. During this meeting, a working relationship with the<br />
partners was discussed and agreed upon. The stakeholders’ meeting was held on<br />
April 3 rd , 2008 at Soroti Hotel and was attended by a total of 66 participants (15<br />
women and 51 men). The attendants included district partners, sub-<strong>co</strong>unty<br />
representatives, district political representatives, NGOs, representatives from AMREF<br />
UK, AMREF Headquarters, AMREF Country Office and KCCP project staff. During the<br />
meeting, some of issues raised included AMREF’s <strong>co</strong>ntinued support of the Traditional<br />
Birth Attendants (TBAs) despite government policy to phase them out. Another issue<br />
was the absence of se<strong>co</strong>ndary school interventions in the KCPP when Katine has only<br />
one that needed assistance. There was also <strong>co</strong>ncern surrounding a lack of indicators<br />
for the <strong>co</strong>mmunity empowerment <strong>co</strong>mponent. Also, some members wanted<br />
clarification on the criteria for selecting borehole drill sites. For livelihood activities,<br />
members were <strong>co</strong>ncerned as to why the project chose cassava and groundnuts as<br />
priority crops when these are locally available in Katine. In addition, members<br />
identified a gap in the baseline survey since it lacked information on HIV/AIDS for<br />
youth and children. Another issue raised was the delay in launching the project as well<br />
as the short (3-year) project lifespan.<br />
� The above issues which were clarified by the project implementation team will be kept<br />
in mind and where possible addressed during the <strong>co</strong>urse of project implementation. In<br />
addition, a stakeholder inventory was developed and is being used for <strong>co</strong>ordination<br />
and mobilisation to strengthen networking.<br />
4.2 Disparities in performance, why and how they will be addressed<br />
Improved <strong>co</strong>mmunity health<br />
The VHT structure was set up more than three years ago but has not yet proven to be stable<br />
and effective. There are challenges associated with the members selected by the <strong>co</strong>mmunity<br />
because some of them cannot read and write in their local languages. The VHTs will therefore<br />
be allocated roles ac<strong>co</strong>rding to their level of <strong>co</strong>mpetency by the district health teams. For<br />
instance, those who cannot read or write are allocated mobilisation roles such as <strong>co</strong>nducting<br />
KCPP six monthly narrative report - October 2007 to March 2008 20
home visits, sensitising household members on good sanitation practices, en<strong>co</strong>uraging<br />
mothers to immunise their children and promoting antenatal care.<br />
AMREF found that most of the TBAs are illiterate and are unable to read hand-outs. As a<br />
result, relevant IEC materials need to be developed for them and there needs to be greater<br />
supervision of their activities.<br />
Improved Access to Quality Education<br />
Construction is still in the early stages of casting the slab for seven classrooms, one office and<br />
a store room in Amorikot primary school. The same holds for the five classrooms, one office<br />
and store room in Kadinya primary school. Completion of <strong>co</strong>nstruction is expected within the<br />
next six months.<br />
Procurement and fabrication of desks has been finalised. However, the plans to furnish the<br />
new classrooms await <strong>co</strong>mpletion of <strong>co</strong>nstruction. Training on child-centered teaching<br />
methodologies, personal hygiene and sanitation education was not fully <strong>co</strong>nducted due to a<br />
lack of time as teachers were caught up in school activities. This will be done in the next three<br />
months as the holiday period starts where we hope to work alongside teachers.<br />
Improved access to safe water, sanitation and hygiene<br />
None of the five planned ECOSAN toilets were <strong>co</strong>nstructed due to time spent in the<br />
procurement and delivery of both local and manufactured materials for <strong>co</strong>nstruction work.<br />
Construction will be <strong>co</strong>mpleted within the next six months. In the same way, AMREF had<br />
aimed to finish <strong>co</strong>nstruction on 13 panel toilets; <strong>co</strong>nstruction <strong>co</strong>mmenced and all 13 will be<br />
<strong>co</strong>mpleted within the next three months.<br />
The 40 sanitation platforms that the KCPP planned to build were not provided to support<br />
household <strong>co</strong>verage for latrine <strong>co</strong>nstruction. This delay is attributable to the need for more<br />
time in allowing pits to sink. This will be done in the next six months.<br />
Springs were not protected nor rehabilitated within the first six months. Identification of sites is<br />
on-going - three have been planned. This is attributed to time spent in identifying perennial<br />
springs in the sub-<strong>co</strong>unty. There are a number of seasonal springs; however, those that are<br />
perennial and re<strong>co</strong>mmended for protection require studying and monitoring throughout the dry<br />
seasons. Those that sustain high flow yields in the dry seasons will then be identified and<br />
re<strong>co</strong>mmended for protection. This will be done in the next six months.<br />
AMREF had planned to <strong>co</strong>nstruct four shallow wells. Construction is on-going and will<br />
<strong>co</strong>ntinue into the next two quarters.<br />
Improved In<strong>co</strong>me Generation<br />
Farmer-led participatory market research (PMR) was divided into two stages. First, market<br />
visits by the livelihood staff took place, followed by farmer visits to the identified market to<br />
KCPP six monthly narrative report - October 2007 to March 2008 21
document market information for planning. The first stage has been <strong>co</strong>mpleted while the<br />
se<strong>co</strong>nd stage will be undertaken in the next six months.<br />
Training on group capacity building did not take place as the groups were still in the formation<br />
process. This will be done in the next six months. Delays in the implementation of activities<br />
partly were partly attributable to one of the livelihood assistants leaving. There were also<br />
inefficiencies in the original management strategies and relationship between FARM-Africa<br />
and AMREF which are now being addressed and so that substantial catch-up and win-win<br />
activities will occur in the next 6 months.<br />
Communities Empowered to Engage in Local Governance<br />
Village level focus group discussions on pre-testing the applicability of IECs did not take<br />
place. This was due to a delay in holding district stakeholders update meeting but is replanned<br />
in the next reporting period.<br />
Procurement of IEC materials were delayed due to IEC messages not being <strong>co</strong>mpleted. This<br />
activity has been re-planned for next reporting period.<br />
AMREF staff training on Rights Based Approach (RBA) did not take place due to lack of<br />
availability of a trainer. This has been re-planned for the next reporting period.<br />
4.3 Unplanned Out<strong>co</strong>mes in the Reporting Period<br />
� The <strong>co</strong>nstruction of the Soroti-Lira road by government using a Chinese <strong>co</strong>mpany has<br />
provided local labour employment, boosting the local e<strong>co</strong>nomy. It has also raised<br />
hopes for development in the sub-<strong>co</strong>unty. The price of land for farming and plots for<br />
building has also increased by 100% due to the added value of the road. An acre of<br />
farmland used to be worth £31 but has now doubled to £63 ac<strong>co</strong>rding to local<br />
landowners. The trading centre is 34 kilometres away and the sub-<strong>co</strong>unty is spread<br />
along the stretch of this road, which is also a highway to the heart of Northern Uganda.<br />
Heavy trucks use this road for e<strong>co</strong>nomic transportation. However, with their transport<br />
<strong>co</strong>mes an increased risk of spreading HIV/AIDS along the highway since truckers base<br />
themselves in towns along their routes. (Uganda AIDS Commission)<br />
� The government’s ongoing extension of piped water from Soroti to Kaberamaido<br />
district (pipeline passes through Katine) is raising hopes of boosting sanitation,<br />
hygiene and the functionality of service facilities and production in <strong>co</strong>ttage industries.<br />
Hence, there is a rapid increase in private sector investment in buildings.<br />
4.4 Results obtained. (Level of performance by utilisation, out<strong>co</strong>mes and impact as a<br />
result of outputs)<br />
4.4.1 Improved Community Health<br />
� There have been increases in the number of children accessing immunisation services<br />
within Katine as well as a reduction in ill-health and death from the eight killer<br />
childhood diseases through health centre reports. This ac<strong>co</strong>mplishment is the result of<br />
KCPP six monthly narrative report - October 2007 to March 2008 22
meetings with health staff to address the gaps in immunisation. The procurement of<br />
four children’s weighing scales, two vaccine carriers, four bicycles, four chairs and four<br />
tables has also <strong>co</strong>ntributed to supporting these services.<br />
� Currently, the VHT members are <strong>co</strong>nducting <strong>co</strong>mmunity sensitisation sessions on<br />
health promotion messages in the <strong>co</strong>mmunities. These messages include better care<br />
and urgent referral of children on home based care of fever and diarrhoea. The KCPP<br />
keeps track of this progress by using their up-to-date database on ITN usage and<br />
target populations <strong>co</strong>nducted by the 172 KCPP-trained VHTs.<br />
� There is also improved reporting of deliveries by TBAs at health facilities, more active<br />
participation of TBAs in health promotion activities such as child health days and<br />
reduction in delayed referral by the TBAs as a result of training of nineteen TBAs out of<br />
twenty-six known to exist.<br />
� There have been improvements in management of staff with associated reduction in<br />
<strong>co</strong>nflicts between staff and members of the management team and better quality of<br />
meeting minutes as a result of training of twenty-three Health Unit Management<br />
Committees in the three health units.<br />
� The KCPP has also seen an improvement in reporting at the health facilities by the<br />
Community Medicine Distributors due to sixty-six bicycles given out to VHTs for their<br />
work.<br />
� There is increased <strong>co</strong>verage in mosquito net use and reduction in the number of<br />
malaria episodes among children below five years of age due to distribution of 1,308<br />
ITNs to 1308 households. This increased household ITN <strong>co</strong>verage by 27% 9 .<br />
Community sensitisation on ITN use has also been <strong>co</strong>nducted. Based on the project<br />
baseline survey report, it is expected that if properly and <strong>co</strong>nsistently used, the number<br />
of malaria cases in children under five years of age will reduce. The project is in the<br />
process of tracking the number of malaria cases reported at the health facilities in<br />
order to establish the impact of the ITN distribution in the <strong>co</strong>mmunity.<br />
4.4.2 Improved Access to Quality Primary Education<br />
� More teaching and learning materials are available in the schools as a result of the<br />
training of 120 parents and 12 teachers on local teaching materials development. This<br />
is expected to improve teaching and performance by pupils.<br />
� Improved school sanitation reflected in presence of hand washing facilities, wellmaintained<br />
latrines and school <strong>co</strong>mpounds due to training of 41 teachers in Personal<br />
Hygiene and Sanitation Education.<br />
� Enhanced participation of children and parents in hygiene activities and promotion of<br />
good sanitation as a result of 15 schools, 130 parents and 150 children and teachers<br />
participating in the national sanitation week using music, dance and drama to enhance<br />
personal hygiene and sanitation messages.<br />
� Anticipated retention of girls is expected especially in upper primary as a result of<br />
<strong>co</strong>nducting advocacy forums in four schools for women teachers to be<strong>co</strong>me role<br />
models for girls ac<strong>co</strong>rding to the baseline survey and tracking school enrolment<br />
re<strong>co</strong>rds.<br />
� Improved school governance and management through understanding roles and<br />
responsibilities of the different governance bodies and increased parent and<br />
9 Project’s Monitoring & Evaluation reports<br />
KCPP six monthly narrative report - October 2007 to March 2008 23
<strong>co</strong>mmunity involvement in the development of the schools due to training of 27 PTAs<br />
and 48 SMCs.<br />
� Narrowed the textbook pupil ratio gap from 1:10 to 1:4 thus improved learning and<br />
teaching.<br />
� Increased participatory monitoring by <strong>co</strong>mmunities and other stakeholders due to<br />
establishment of <strong>co</strong>mmittees to oversee school <strong>co</strong>nstruction in Amotikot and Kadinya.<br />
� Expected improvement in the learning environment (better hygiene, more space) and<br />
reducing the pupil ratio from 1:91 to 1:54 upon <strong>co</strong>mpletion of <strong>co</strong>nstruction of 12<br />
classrooms.<br />
� Coding and registration of examination centers of Amorikot and Kadinya schools will<br />
be done because they now qualify by virtue of infrastructure in place.<br />
� Improved sanitation <strong>co</strong>nditions in the schools and reduction in incidence of<br />
<strong>co</strong>mmunicable disease infestation such as diarrhoea and reduction in pathogens in<br />
the local environment.<br />
� Anticipated increase enrolment of children, especially girls, due to the <strong>co</strong>nstruction of<br />
toilet and washroom facilities in the above schools.<br />
� Strengthened school management, classroom teaching and school data management,<br />
reflected in active PTAs, SMCs due to vigilant support supervision.<br />
4.4.3 Improved Access to Safe Water, Hygiene and Sanitation<br />
� Functionality and utilisation of clean water sources increased from 70% to 95% due to<br />
rehabilitation of five existing boreholes<br />
� Improved school sanitation as 27 pit latrines have been sunk and <strong>co</strong>nstruction ongoing<br />
due to provision of sanitation kits to schools.<br />
� Promotion of household hygiene and sanitation practices as a result of distribution of<br />
sanitation kits to <strong>co</strong>mmunities<br />
� By-laws on water and sanitation have been proposed by sub-<strong>co</strong>unty health <strong>co</strong>mmittee<br />
and enacted by the sub-<strong>co</strong>unty <strong>co</strong>uncil. An example is the <strong>co</strong>mpulsory presence of pit<br />
latrines in all the house-holds of Katine.<br />
� Improved data <strong>co</strong>llection and submission due to training of 6 parish sanitation<br />
<strong>co</strong>mmittees and one hundred and thirty two Village Health Teams.<br />
� The project <strong>co</strong>ntributed to the increased functionally of water sources due to the<br />
establishment and training of 12 water source <strong>co</strong>mmittees.<br />
� All repairs on water sources <strong>co</strong>mpleted by the three trained hand pump mechanics<br />
and the water sources are now all in use.<br />
� Hygiene and environmental improvement messages have been targeted based on the<br />
water quality reports from the 21 surveillances done.<br />
� Integrated the project water and sanitation plans into the district water sector plans<br />
due to participation in the district water and sanitation <strong>co</strong>ordination <strong>co</strong>mmittee<br />
meeting.<br />
� Improved <strong>co</strong>ordination with other partners due to best practice sharing meetings.<br />
4.4.5 Communities empowered to engage in local governance<br />
� Increased awareness on rights and development due to IEC messages for all<br />
<strong>co</strong>mponents.<br />
KCPP six monthly narrative report - October 2007 to March 2008 24
� Improved <strong>co</strong>ordination due to formation of project management <strong>co</strong>mmittees at sub<strong>co</strong>unty<br />
and district levels.<br />
� Improved governance, mobilisation and <strong>co</strong>mmunity participation in local decision<br />
making due to strengthening of existing governance structures, creation of new ones<br />
at <strong>co</strong>mmunity and local government level.<br />
� Increased integration of the various project <strong>co</strong>mponents due to working in a<br />
<strong>co</strong>ordinated manner.<br />
4.5 Degree of integration of each <strong>co</strong>mponent with other <strong>co</strong>mponents<br />
4.5.1 Improved <strong>co</strong>mmunity health<br />
� Identified and shared roles of VHTs among health, WATSAN, <strong>co</strong>mmunity<br />
empowerment <strong>co</strong>mponents.<br />
� Trained VHTs in <strong>co</strong>llaboration with WATSAN <strong>co</strong>mponent on sanitation and hygiene<br />
promotion.<br />
� Trained teachers on personal hygiene along side the education <strong>co</strong>mponent.<br />
� Worked with <strong>co</strong>mmunity empowerment <strong>co</strong>mponent to develop IEC messages for use<br />
by VHTs for promoting health education.<br />
� Worked with education and WATSAN <strong>co</strong>mponents to form school health <strong>co</strong>mmittees.<br />
4.5.2 Improved access to quality primary education<br />
� Training in Personal Hygiene and Sanitation Education linked and strengthened the<br />
WATSAN activities from the <strong>co</strong>mmunity and schools so that there is <strong>co</strong>nsistency in<br />
knowledge, attitude and practices in schools and in the <strong>co</strong>mmunity<br />
� Promoting adolescent reproductive health in schools and linking up with the services<br />
being strengthened by the health <strong>co</strong>mponent.<br />
4.5.3 Improved access to safe water sanitation and hygiene<br />
� In<strong>co</strong>rporated the WATSAN hygiene and sanitation promotion in the training of VHTs.<br />
Also to include use of the VHTs in <strong>co</strong>llection of data related to hygiene, sanitation and<br />
water supply in their villages.<br />
� Sanitation promotion in schools in <strong>co</strong>llaboration with the education <strong>co</strong>mponent. 27 pit<br />
latrines dug in schools as a result of provision of sanitary kits.<br />
� In <strong>co</strong>njunction with health and education, using the school health <strong>co</strong>mmittees in<br />
planning and implementation of school health and sanitation activities.<br />
� Pre-tested the IEC materials in <strong>co</strong>njunction with <strong>co</strong>mmunity empowerment <strong>co</strong>mponent.<br />
4.5.4 Improved in<strong>co</strong>me generation<br />
� Worked with the <strong>co</strong>mmunity empowerment <strong>co</strong>mponent during the establishment of<br />
livelihoods groups at village level that will be feeding into higher level structures at the<br />
sub-<strong>co</strong>unty and district. E.g. The sub-<strong>co</strong>unty livelihoods forum.<br />
KCPP six monthly narrative report - October 2007 to March 2008 25
4.5.5 Communities empowered to engage in local governance<br />
� Established a <strong>co</strong>mmunity structures inventory that reflects different local structures that<br />
are used by different <strong>co</strong>mponents. Some structures such as Village Health Teams and<br />
sub-<strong>co</strong>unty technical planning <strong>co</strong>mmittee are shared among health, water and<br />
education. This is expected to result into effective <strong>co</strong>ordination and networking among<br />
various <strong>co</strong>mmunity groups and hence ensuring sustainability of the project.<br />
� Developed key messages on health, education and water through focus groups at<br />
village level and IEC working groups at sub-<strong>co</strong>unty and district level reflecting all<br />
<strong>co</strong>mponents.<br />
4.6 Case studies<br />
Drilling of Omulai borehole: A life time dream <strong>co</strong>me true for Akwango Lucy<br />
Born in 1960, Akwango Lucy was married and lived in Omulai<br />
Village, Katine Parish in Katine sub-<strong>co</strong>unty for 30 years.<br />
For the last 29 years she has been <strong>co</strong>llecting water for<br />
drinking, <strong>co</strong>oking, bathing and all domestic chores from<br />
Omulai swamp which had an open well, about two kilometres<br />
from her home.<br />
Lucy says “…that whenever it rained flood water would fill the<br />
open well in the swamp.” Because of this, in 2000 the district<br />
local government <strong>co</strong>nstructed a shallow well in the area, but<br />
insects (worms) are seen regularly <strong>co</strong>ming out of the well.<br />
Many users <strong>co</strong>mplained about worms which led to frequent<br />
diarrhoea and stomach pain and diseases like bilharzias<br />
whose presence in both children and adults was revealed<br />
through medical examination.<br />
Lucy cites one woman, a mother of seven children whom she said “developed a swollen<br />
stomach in 2007 as a result of worms. She was examined and is required to get treatment in<br />
Soroti town but for one year now she has failed to get funds for medical treatment.”<br />
Lucy says, “Cases of this nature are <strong>co</strong>mmon in the village given the long history of drinking<br />
dirty water.”<br />
Ac<strong>co</strong>rding to Lucy, in 1990 an old man died in the village. His death was caused by drinking<br />
unclean water.<br />
“In 2004 a child named Eboku died as a result of drinking insects from the shallow well,” Lucy<br />
says.<br />
KCPP six monthly narrative report - October 2007 to March 2008 26
Lucy is a mother of nine children raised under these <strong>co</strong>nditions. Her se<strong>co</strong>nd born Opio<br />
Richard is 27 years old Together with other village members Opio Richard became the voice<br />
of the <strong>co</strong>mmunity. They initiated a request when they learnt about AMREF support to Katine<br />
<strong>co</strong>mmunity last year in October. As a result Omulai borehole was drilled on 24 th January 2008.<br />
To Lucy: “This borehole looks like a dream. I never expected that there would be such an<br />
opportunity like this one during my life time.<br />
“Now there is improvement in the lives of <strong>co</strong>mmunity members. Cases of stomach pain are no<br />
more.”<br />
She adds, “Distance from home to water source is now short and as a result less time spent<br />
<strong>co</strong>llecting water and more time spent on e<strong>co</strong>nomic activities like gardening.”<br />
Besides, Lucy says, “Cases of irregular schooling are no more for children since water source<br />
is now near and majority of children are not sick of water related diseases any more.”<br />
Ac<strong>co</strong>rding to local <strong>co</strong>uncil one chairperson of the village Mr. Etemu John Stephen, about 500<br />
<strong>co</strong>mmunity members <strong>co</strong>llect water from this borehole with more women benefiting in terms of<br />
numbers than men.<br />
“This has made <strong>co</strong>mmunity members to save money formally used for treatment of water<br />
related diseases. Apart from malaria, sicknesses that used to be <strong>co</strong>mmon like diarrhoea are<br />
no more,” he says.<br />
After <strong>co</strong>nstruction of the borehole, water source <strong>co</strong>mmittee members were trained and tasked<br />
with responsibility of managing the water source. It <strong>co</strong>mprises nine members four of whom are<br />
women.<br />
Lucy thanked Barclays and the <strong>Guardian</strong> for accepting to fund this project and AMREF for<br />
implementing it in Katine.<br />
4.5.2 Education case study<br />
Engendering education - Ameo Grace of Amorikot Community School Education<br />
Grace Ameo is one of the two women teachers of Amorikot <strong>co</strong>mmunity school. She was<br />
posted as a teacher to the school on 27 th February 2008 and the first women teacher to join<br />
the staff of the <strong>co</strong>mmunity school as a result of AMREF lobbying the DEO. She is not married<br />
but has 3 dependants that she takes care of, John, Jane and Emma. John and Jane are both<br />
in Senior 1 (about 15 years old in Katine) and Emma is in primary 5 (about 13 years old in<br />
Katine) Grace says that her joining the school filled the gap of senior woman teacher. This is a<br />
position that is critical for girls especially in primary schools in Uganda. A senior woman<br />
teacher in a school is responsible for providing guidance and <strong>co</strong>unseling sessions for girls at<br />
the same time educating girls on their growth and development. Adolescence for primary<br />
school girls is a critical period and yet the ‘aunties’ who used to provide this education to girls<br />
in the <strong>co</strong>mmunity are no longer doing it. Mothers feel embarrassed to talk to their girl children<br />
about sexuality. When they have children in school they hope that the senior lady will play<br />
KCPP six monthly narrative report - October 2007 to March 2008 27
these roles. Difficulty in <strong>co</strong>pying with adolescent reproductive growth changes have<br />
<strong>co</strong>nstituted one of the major reasons to prolonged absenteeism which eventually leads to drop<br />
out of girls before they <strong>co</strong>mplete the primary education cycle. Grace automatically became the<br />
senior woman teacher since there was no other women teacher to handle the girl-child issues<br />
at school. Asked how she has improved the situation of the girls at her school, Grace<br />
responds:<br />
‘I have tried to advise them on how to deal with their menstrual cycles. Due to my <strong>co</strong>nstant<br />
advice on personal hygiene and sanitation, HIV/Aids, early pregnancies and peer<br />
pressure, most of them have tried to change and therefore willing to <strong>co</strong>mplete the primary<br />
cycle’<br />
Grace is grateful for having attended one of the workshops organized by AMREF in<br />
partnership with the district education department on adolescent reproductive health<br />
<strong>co</strong>unseling. This is because she has been able to acquire more skills to support girls in her<br />
school. She is happy with the current <strong>co</strong>nstruction of new classrooms, latrines and bathrooms,<br />
she is <strong>co</strong>nvinced that this will improve the sanitation <strong>co</strong>nditions in the school and enable girls<br />
to have a decent place to change and bathe whenever the need arises. She plans to train her<br />
pupils on making sanitary pads from local materials so that they can have enough to take<br />
them through their menstrual cycles and still have some emergency ones kept at school. She<br />
acknowledges that the presence of the new borehole just 50 metres away from the school will<br />
enable the girls to access clean water easily for bathing.<br />
Grace believes that through the other interventions of classroom <strong>co</strong>nstruction, teacher training<br />
and training of the school governance bodies, the school will be<strong>co</strong>me attractive to the pupils<br />
because they will be able to benefit from being in school, hence education be<strong>co</strong>ming<br />
meaningful and relevant to them.<br />
Right: Grace in front of the new block under <strong>co</strong>nstruction<br />
Left: Grace in front of the old <strong>co</strong>mmunity school<br />
Amorikot<br />
KCPP six monthly narrative report - October 2007 to March 2008 28
5.0 PARTNERSHIP AND COORDINATION WITH OTHER BODIES<br />
The project <strong>co</strong>ntinued to work alongside parish, sub-<strong>co</strong>unty and district <strong>co</strong>unterparts in the<br />
departments of health, water and sanitation, livelihoods, education and <strong>co</strong>mmunity<br />
empowerment, as well as Non Governmental Organisations (NGOs) and Community Based<br />
Organisations (CBOs) in all its activities. These include:<br />
i) Existing <strong>co</strong>mmunity networks<br />
ii) Government structures<br />
iii) NGOs and CBOs who share the same vision and objectives such as<br />
Transcultural Social Organisation (TPO) and Uganda Women’s Efforts to Save Orphans<br />
(UWESO).<br />
5.1 Improved <strong>co</strong>mmunity health<br />
� Shared work plans with district health team.<br />
� Invited district officials to facilitate, open or close workshops.<br />
� Involved the ‘in-charge’ of the health sub-district and village leaders in verification and<br />
selection of VHTs.<br />
5.2 Improved access to quality primary education<br />
� Shared work plans with the district education department and at sub-<strong>co</strong>unty level with<br />
the Centre Coordinating Tutor and the Secretary for education.<br />
� Worked closely with Inspector of Schools in charge of Katine in all activities.<br />
� Worked with the Primary Teachers College on teacher training.<br />
� Worked with PTAs and SMCs to involve parents in planning and development of<br />
schools, e.g. feeding programme for children.<br />
5.3 Improved access to safe water, sanitation and hygiene<br />
� Participated in the district water and sanitation <strong>co</strong>ordination meeting that brings<br />
together various stakeholders.<br />
� Participated in the best practice sharing meeting on safe water provision organised by<br />
AFRICARE in which domestic water treatment methods used by AFRICARE in their<br />
project area of Gweri sub-<strong>co</strong>unty (in Soroti district) were shared. The meeting<br />
questioned whether this is sustainable since it involves the use of manufactured<br />
reagents ‘PURE’ and this requires financial input from the <strong>co</strong>mmunities daily.<br />
� Participated in national sanitation week celebration during which sensitisation of<br />
<strong>co</strong>mmunities was carried out both at parish and village levels and emphasis laid on the<br />
following; acceptable pit latrines with privacy, presence of anal cleansing materials and<br />
safe hand washing facilities after latrine use, observance of personal, domestic and<br />
food hygiene.<br />
5.4 Improved in<strong>co</strong>me generation<br />
KCPP six monthly narrative report - October 2007 to March 2008 29
� Shared work plans with the district and sub-<strong>co</strong>unty technical team.<br />
� Conducted a diagnostic livelihoods survey with NARO-Serere.<br />
� Planned jointly with NARO-Serere to establish field demonstration farms<br />
� Planned jointly with UWESO/CARE on the financial inclusion model (VSLA<br />
methodology.)<br />
� Worked with the sub-<strong>co</strong>unty extension staff and <strong>co</strong>mmunity leaders in implementation<br />
of field activities.<br />
5.5 Communities empowered to engage in local governance<br />
� Stakeholders meetings held, one for the district and one for the sub-<strong>co</strong>unty, to update<br />
the partners about KCPP.<br />
� Participated in health sector working group at district level.<br />
� Involvement of the district and sub-<strong>co</strong>unty partners in sharing of work plans,<br />
developing of Terms of Reference and training guides.<br />
� Mobilisation of parish chiefs and other structures for all project <strong>co</strong>mponents to<br />
participate in KCPP activities.<br />
� Formed district IEC working group and held meetings to develop IEC messages.<br />
6.0 CONSTRAINTS, SOLUTIONS, LESSONS LEARNT AND RECOMMENDATIONS<br />
6.1 Improved <strong>co</strong>mmunity health<br />
6.1.1 Constraints<br />
� The ability to read or write in the local language is among the criterion that is supposed<br />
to be followed by <strong>co</strong>mmunities when they are selecting VHT members. This is so<br />
because VHTs are expected to have several different re<strong>co</strong>rds kept, reviewed and<br />
submitted to their supervisors. However, a small but significant section of the current<br />
VHT members cannot legibly write in either English or their local language. These<br />
individuals have been in the rather dormant VHT structure and it is not easy to<br />
disqualify them as their <strong>co</strong>mmunity entrusted them with such work. Furthermore, they<br />
have <strong>co</strong>ntinued to show interest and <strong>co</strong>mmitment to <strong>co</strong>ntinue with such voluntary work.<br />
� The supply of anti-malarial medicines and Oral Rehydration Salt for the home based<br />
management of fever and diarrhoea at the health facilities is irregular.<br />
6.1.2 Solutions<br />
� Performance of Community Medicine Distributors will be monitored and evaluated<br />
based on the decline in the number of severe cases of malaria seen at the health<br />
facilities, and number of malaria cases treated by VHTs within 24 hours of the onset of<br />
fever.<br />
� The project should attempt to lobby the district to improve supplies of anti-malarials.<br />
� Communities should be sensitised on roles for which they elect their representatives.<br />
6.1.3 Lessons learnt<br />
KCPP six monthly narrative report - October 2007 to March 2008 30
6.1.4 Re<strong>co</strong>mmendations<br />
� VHTs need to be strengthened for long-term sustainability of the project.<br />
6.2. Improved access to quality primary education<br />
6.2.1 Constraints<br />
� Taking away teachers for training during schooling periods is <strong>co</strong>unter productive. Yet<br />
during holidays some teachers are out of station, studying or visiting their families in<br />
other parts of Uganda.<br />
� Delays in receiving requests from schools.<br />
6.2.2 Solutions<br />
� Combine residential training of related topics for teachers to maximize time available<br />
� Request submission of school requests annually and not quarterly<br />
6.2.3 Lessons Learnt<br />
� Integrate the education activities with the school calendar such that activities are done<br />
jointly and in a <strong>co</strong>mplimentary manner. This will maximise the use of scarce resources<br />
and increase participation.<br />
6.2.4 Re<strong>co</strong>mmendation<br />
� Conduct school-based training for teachers during term-time.<br />
6.3 Improved access to safe water sanitation and hygiene<br />
6.3.1 Constraints<br />
� There are negative attitudes by the <strong>co</strong>mmunity towards new <strong>co</strong>ncepts like e<strong>co</strong>logical<br />
sanitation driven by cultural <strong>co</strong>nsiderations. For example, that it is taboo to screen and<br />
use human faecal matter for agriculture.<br />
6.3.2 Solutions<br />
� To enhance acceptance of the new technology, the ECOSAN activity is being<br />
implemented with a <strong>co</strong>mmunity based approach where the local masons have been<br />
identified and trained in the respective sites to be able to <strong>co</strong>nstruct the ECOSAN<br />
facilities. Advocacy meetings have also been <strong>co</strong>nducted in the respective schools in<br />
which the ECOSAN <strong>co</strong>ncept has been demystified to the <strong>co</strong>mmunity leaders and the<br />
school health <strong>co</strong>mmittees.<br />
6.3.3 Lessons learnt<br />
� Continuous sensitisation of <strong>co</strong>mmunities can strengthen their capacity to prevent<br />
disease at <strong>co</strong>mmunity level and improve their standards of living. For example, a follow<br />
up of 60 households of <strong>co</strong>mmunity leaders during the sanitation week revealed that 33<br />
households sunk pit latrines within one week. This achievement, once sustained, can<br />
promote safe excreta disposal and together with other factors mitigate the high<br />
incidences of diseases in <strong>co</strong>mmunities brought about by poor sanitation practices.<br />
KCPP six monthly narrative report - October 2007 to March 2008 31
6.3.4 Re<strong>co</strong>mmendations<br />
Attitude and behaviour change is a process and needs to be emphasised for sustainable<br />
interventions.<br />
6.4 Improved in<strong>co</strong>me generation<br />
6.4.1 Constraints<br />
� High <strong>co</strong>mmunity expectations e.g. everybody wants to belong to a group<br />
� Season-dependant activities e.g. trials/demonstrations are affected by seasons and<br />
dictated by weather.<br />
� Core staff resigning shortly after recruitment, inefficient and unclear management<br />
structures between AMREF and FARM-Africa<br />
6.4.2 Solutions<br />
� Other <strong>co</strong>mmunity members to be accessed through farmer to farmer approaches<br />
� Undertake group capacity building programmes and group-based work <strong>co</strong>ncurrently<br />
� Timely planning with relevant partners<br />
� Streamlined management structures in place to optimise shared resources and<br />
capacities within and between AMREF and FARM-Africa.<br />
6.4.3 Lessons Learnt<br />
� The <strong>co</strong>mmunity has fully embraced project ideas and has shown willingness to actively<br />
participate in their own development. An example is where in each of the 9 villages<br />
suggested to participate in on farm trials /demonstrations the <strong>co</strong>mmunity willingly<br />
offered a piece of land as their bit of <strong>co</strong>ntribution. In addition, farmers in the villages of<br />
Odwogai, Ojemorun, Adamasiko (all in Ojom Parish), Ojwiny (in Merok Parish) have<br />
gone ahead to prepare the gardens.<br />
� Community’s <strong>co</strong>nviction that through improved farming and organised produce<br />
marketing, their lives can improve. This was revealed during the diagnostic survey of<br />
technology and enterprise priorities. The <strong>co</strong>nviction is based on the fact that more than<br />
90% of the Katine <strong>co</strong>mmunity view farming as their key source of household in<strong>co</strong>me.<br />
6.4.4 Re<strong>co</strong>mmendations<br />
� Livelihoods should be strengthened and its implementation done faster to catch up<br />
with other <strong>co</strong>mponents as its key to the integration, success and sustainability of the<br />
project.<br />
� Strengthen operations and <strong>co</strong>ordination with FARM-Africa, CARE and UWESO.<br />
6.5 Communities empowered to engage in local governance<br />
6.5.1 Lessons learnt<br />
KCPP six monthly narrative report - October 2007 to March 2008 32
� In an integrated project, delay or failure to implement one major activity can greatly<br />
affect implementation of other activities tagged to it. For example, there was a delay<br />
in holding the district stakeholders meeting <strong>co</strong>nsequently affecting the other district<br />
level activities.<br />
� If implementation of <strong>co</strong>mponent activities takes place at the same pace, more<br />
benefits of integration can be realised. For example, the <strong>co</strong>nstruction and use of<br />
ECOSAN toilets will produce manure for use in livelihood led <strong>co</strong>mmunity<br />
demonstration gardens and school gardens. This will improve crop productivity and<br />
boost school feeding programmes hence improve nutrition and health.<br />
6.5.2 Re<strong>co</strong>mmendations<br />
� More emphasis needs to be put on integration of <strong>co</strong>mponents<br />
� Strengthen the in<strong>co</strong>rporation of Rights Based Approach to Development into all<br />
<strong>co</strong>mponents of the project. Development in the rights based perspective is about<br />
empowering <strong>co</strong>mmunities to demand for and protect their rights, making the duty<br />
bearers ac<strong>co</strong>untable to the <strong>co</strong>mmunity. This is important for ensuring sustainability of<br />
the project. It also puts responsibility on citizens to be active actors in their<br />
development and not passive recipients of development aid or charity.<br />
7.0 PLANS FOR THE NEXT PERIOD (see annexes)<br />
7.1 FINANCE REPORT SUMMARY (to be read in <strong>co</strong>njunction with the finance report)<br />
Six months into the project AMREF has spent 33% of the total year 1 budget. The lower<br />
expenditure is partly due to the fact that the first three months were focused on projects start –<br />
up activities and a partial team on the ground, with the Communications Officer and a full time<br />
Project Manager starting after project start-up. Now that the project start-up is <strong>co</strong>mpleted,<br />
project spending is expected to increase as activities pick up speed.<br />
Below is a breakdown of each of the budget lines with an explanation on expenditure to date,<br />
outlining any reasons for under/over spends against the budget.<br />
<strong>PROJECT</strong> ACTIVITIES (1.0-9.0)<br />
� Core team salaries: spending is in line with the budget <strong>co</strong>nsidering the project start up<br />
period. There was an over-spend on drivers se<strong>co</strong>nded to support external visits and an<br />
under-spend on staff roles who started after the project was launched.<br />
� Project activities: the delay in project activities, resulting from a partial team in Katine,<br />
are under spent at the midyear point, but expected to increase in lined with our project<br />
plan, and as activities are now fully underway.<br />
� Health activities, much of the expenditure was focused on training <strong>co</strong>urses for the<br />
TBAs, VHTs, health workers and health unit management <strong>co</strong>mmittees. Some of the<br />
hardware <strong>co</strong>mponents include the purchase of bicycles, purchase of drug storage kits<br />
for the medicine distribution and the purchase of 3250 ITNs which is reflected in this<br />
budget line.<br />
KCPP six monthly narrative report - October 2007 to March 2008 33
� Education activities: <strong>co</strong>sts up until March <strong>co</strong>sts were focused on procuring school<br />
supplies, running training and capacity building sessions with teachers, PTA and<br />
SMCs. Much of the spending on <strong>co</strong>nstruction materials for classrooms, desks and<br />
seating will be visible in the next finance report.<br />
� WATSAN: 43% of the budget spent, in line with the budget as as much of the funds<br />
were spent on procuring and installing hardware. This included drilling and<br />
rehabilitation of boreholes, purchase of sanitation kits, payment for borehole<br />
<strong>co</strong>ntractors and training sessions of the hand pump mechanics.<br />
� Livelihoods, 22% of the budget has been spent; this funding for activities including like<br />
the formation and training of farmer groups, the <strong>co</strong>upling of farming with other in<strong>co</strong>me<br />
generating activities, the implementation of a diagnostic survey and on-farm<br />
demonstrations sites being carried out.<br />
� Community empowerment Just 3.59% of the budget has been spent on training<br />
sessions, development of IEC working groups, strengthening of <strong>co</strong>mmunity structures,<br />
and establishment of working groups. There have been some delays in activities as<br />
outlined in Section 4.2. Much of the <strong>co</strong>sts will be expended in the next reporting period,<br />
including the <strong>co</strong>sts of IEC materials being produced. This budget line also related to<br />
the <strong>co</strong>mmunity resource centre which will be accessed by and belong to the<br />
<strong>co</strong>mmunity once the project ends. The <strong>co</strong>sts for <strong>co</strong>nstruction were posted in May, and<br />
will appear in next report. Relationships with <strong>co</strong>mmunities set up, <strong>co</strong>mmunities<br />
structures in place, and expenditure expected to pick up.<br />
� Project operational <strong>co</strong>sts spend is at 69%, higher than expected at the mid point. This<br />
is high because of significant increases in fuel <strong>co</strong>sts for Katine cars; as a result of the<br />
increased <strong>co</strong>sts in fuel incurred by the Kenya crisis in December and January and<br />
partly due to the many external project visits to the site.<br />
� Project capital <strong>co</strong>sts: 86% is a fair report on spending 6 months into the project, as<br />
much of the capital <strong>co</strong>sts happen at the start of a project. Overspends include satellite<br />
internet installation in January when the office move took place, double the expected<br />
<strong>co</strong>sts. This is a necessary expense given the media focus on this project and need for<br />
information and <strong>co</strong>mmunications from the field. Security tagging for equipment was<br />
more expensive than anticipated. On office administration, much of the <strong>co</strong>sts such as<br />
equipment maintenance and office supplies will be reflected in the next 6 month report.<br />
� Project Management Costs: Spending is as expected and in line with the budget, it<br />
includes <strong>co</strong>unty office staff time and that of a <strong>co</strong>nsultant’s to provide AMREF with the<br />
project management tools and guidelines from the project’s inauguration.<br />
� Monitoring & Evaluation: Such <strong>co</strong>sts are as anticipated, including the baseline survey<br />
and a <strong>co</strong>nsultant to analyse the data and <strong>co</strong>mpile a report.<br />
� UK Project Management: These <strong>co</strong>sts are in line with spending at 33.12% with an<br />
overspend in legal fees due to an extended <strong>co</strong>ntract negotiation period. Much of the<br />
KCPP six monthly narrative report - October 2007 to March 2008 34
first six months of the Katine project have involved setting up the systems and<br />
processes to manage, bank and thank Katine reader donations. It also includes the set<br />
up the systems required to process online donations by adding the necessary<br />
functionality to AMREF UK’s website. AMREF UK also sent the ‘Katine Newsletter’ to<br />
nearly 4,000 Katine donors who had asked to be kept informed of the project’s<br />
progress. These <strong>co</strong>sts are reflected in the budget line.<br />
� Contingency and agency support <strong>co</strong>sts: <strong>co</strong>ntingency was not used, and agency<br />
support <strong>co</strong>sts are as expected.<br />
8.0 ANNEXES (attached as separate files)<br />
8.1 Work plan for the next six months (see attached)<br />
8.2 Detailed tabulated activity progress by outputs, out<strong>co</strong>mes and <strong>co</strong>mments (see attached)<br />
8.3 <strong>PROJECT</strong> GOVERNANCE STRUCTURES AND ROLES IN UGANDA AND IN UK<br />
The project governance structure is managed at four levels: the sub-<strong>co</strong>unty/project, the<br />
district, the national and the global. It is <strong>co</strong>mmunity-driven from the bottom-up.<br />
<strong>PROJECT</strong> MANAGEMENT COMMITTEE (SUB-COUNTY LEVEL)<br />
Role: Involvement and <strong>co</strong>ncern over the operational and day-to-day implementation of the<br />
project.<br />
This <strong>co</strong>mmittee meets monthly on the first Friday of every month. It is chaired by the sub<strong>co</strong>unty<br />
chief and <strong>co</strong>-chaired by AMREF’s Deputy Country Director. Those involved from<br />
AMREF include the project manager and the project officers (Health, Education, Watsan,<br />
Liveihoods, Community Empowerment, Communications and M&E.)<br />
The sub-<strong>co</strong>unty membership aims to include:<br />
� Assistant Community Development Officer (ACDO)<br />
� Area inspector of schools<br />
� Sub-<strong>co</strong>unty National Agricultural Advisory Services (NAADS) <strong>co</strong>ordinator<br />
� Health assistant<br />
� County water officer<br />
� Representatives of special interest groups (PLWHA, Women, Youth and People with<br />
Disabilities)<br />
In attendance (<strong>co</strong>-opted):<br />
� Local Councilor IIIAMREF Uganda Country Director<br />
� Project presenters – project assistants<br />
KCPP six monthly narrative report - October 2007 to March 2008 35
� Representatives of other partners e.g. NGOs in the Katine area<br />
Responsibilities include:<br />
� Involvement in the operational details of the project, supervision of implementation,<br />
development and review of work plans<br />
� Ensuring equal participation and representation of lower structures<br />
� Addressing <strong>co</strong>mmunity involvement, empowerment and governance at the operational<br />
level<br />
� Participating in evaluation processes<br />
� Preparing technical project reports to be presented to the steering <strong>co</strong>mmittee at the<br />
district level<br />
� Mobilising <strong>co</strong>mmunities and resources in local <strong>co</strong>mmunities<br />
� Identifying risks and re<strong>co</strong>mmend mitigation strategies<br />
� Identifying gaps, priorities and key areas of intervention<br />
� Supporting the project in identification of beneficiaries<br />
� Identifying areas for media <strong>co</strong>verage and engagement<br />
� Mobilising <strong>co</strong>mmunities to engage in local <strong>co</strong>mmunity based documentation through<br />
the use of approaches like <strong>co</strong>mmunity-based management information systems.<br />
DESIRED OUTPUTS:<br />
Reports stipulating:<br />
� Action points and re<strong>co</strong>mmendations<br />
� Overall project progress<br />
� Component specific technical reports<br />
Reporting Guidelines<br />
� Reports will be produced on a monthly basis<br />
� These reports will be in<strong>co</strong>rporated into the general sub-<strong>co</strong>unty report to the district<br />
<strong>PROJECT</strong> STEERING COMMITTEE (DISTRICT LEVEL)<br />
Role: To provide technical guidance and support to the project management <strong>co</strong>mmittee.<br />
This <strong>co</strong>mmittee will meet on a quarterly basis and will be chaired by the district chief<br />
administrative officer. AMREF will <strong>co</strong>-chair and provide the secretariat support for the same.<br />
The chair is the Soroti Chief Administration Officer (who reports to the executive/<strong>co</strong>uncil), the<br />
<strong>co</strong>-chair is AMREF Uganda’s Country Director, while the secretariat includes AMREF (to be<br />
led by the Project Manager).<br />
AMREF Membership:<br />
� Katine project manager<br />
� AMREF in Uganda Deputy Country Director<br />
KCPP six monthly narrative report - October 2007 to March 2008 36
District membership:<br />
� District Education Officer<br />
� District Health Officer<br />
� District Water Officer<br />
� Community Development Officer<br />
� Production <strong>co</strong>ordinator<br />
� Assistant Chief Administrative Officer – 1<br />
� District Information Officer<br />
In attendance (<strong>co</strong>-opted but not mandatory):<br />
� Local Council V Councilor Katine (x2)<br />
� Sub-County Chief<br />
� NGO forum representatives (x2)<br />
� KCPP project officers as and when required as presenters<br />
Responsibilities include:<br />
� Receiving and reviewing project progress reports and provide technical input and<br />
guidance<br />
� Producing minutes and reports to be shared with the <strong>co</strong>untry advisory <strong>co</strong>mmittee<br />
� Enhancing <strong>co</strong>ordination between the project and district plans, progress and policies to<br />
ensure long term sustainability<br />
� Mobilising/leveraging resources from the district in support of the project<br />
� Identifying strategic and policy-related issues for the <strong>co</strong>untry advisory <strong>co</strong>uncil<br />
� Providing a platform for a local voice in development and media debates<br />
Reporting requirements<br />
� This <strong>co</strong>mmittee will meet every first Friday of each quarter. (First meeting was<br />
scheduled for 04 July 08, but held on 14 th July 2008)<br />
� A <strong>co</strong>mprehensive project progress report disseminated to the <strong>co</strong>untry advisory<br />
<strong>co</strong>mmittee, donors, etc. These progress reports are to be produced by a secretariat<br />
provided by AMREF. It is mandatory that these reports include any issues and<br />
re<strong>co</strong>mmendations.<br />
Desired outputs:<br />
� A <strong>co</strong>mprehensive project progress report disseminated to the <strong>co</strong>untry advisory<br />
<strong>co</strong>mmittee, donors, etc. These progress reports are to be produced by a secretariat<br />
provided by AMREF. It is mandatory that these reports include any issues and<br />
re<strong>co</strong>mmendations.<br />
Administration of this <strong>co</strong>mmittee<br />
� Voluntary participation and engagement<br />
KCPP six monthly narrative report - October 2007 to March 2008 37
� Expression of <strong>co</strong>mmitment and ownership of project intervention<br />
� The secretariat meets administrative <strong>co</strong>sts, e.g. meals.<br />
The purpose of the meetings will be guided by;<br />
� The fieldwork of the district steering <strong>co</strong>mmittee, governed by the GoU standing orders<br />
� The functioning of KCPP in <strong>co</strong>mpliance with the central government and Soroti local<br />
government regulations<br />
� Commitment to technical guidance and development support to Katine<br />
� The need for a clearly stipulated <strong>co</strong>mmunity <strong>co</strong>ntribution<br />
<strong>PROJECT</strong> ADVISORY COMMITTEE<br />
This exists at the national/<strong>co</strong>untry level, <strong>co</strong>mprised of the AMREF Uganda <strong>co</strong>untry director (as<br />
chairperson), the AMREF Uganda Deputy Country Director, key <strong>co</strong>ntacts in the line ministries,<br />
as well as representatives of Barclays, PANOS, and FARM-Africa. The role of this <strong>co</strong>mmittee<br />
will be to provide high level partnership management support, monitor the media output at<br />
national level, inform the project on the GoU policies and guidelines as well as monitor and<br />
evaluate the project progress.<br />
At the global level is a governance <strong>co</strong>mmittee that will be <strong>co</strong>mprised of the leaders of all the<br />
partner organisations involved in this project (i.e. AMREF, <strong>Guardian</strong>, Barclays and FARM-<br />
Africa). This <strong>co</strong>mmittee will meet quarterly and will be informed on project progress by the<br />
project advisory <strong>co</strong>mmittee and district steering <strong>co</strong>mmittee.<br />
KCPP six monthly narrative report - October 2007 to March 2008 38